| |
402 W Washington St, Cuba, MO 65453-1217 | |
(573) 885-2323 | |
(573) 885-2643 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 402 W Washington St, Cuba, Missouri |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881630366 | NPI | - | NPPES |
10852950 | Other | MO | CAQHEALTH CARE |
22-00550 | Other | MO | UNITED HEALTH CARE |
101125 | Other | MO | BLUE CROSS BLUE SHIELD |
318275906 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | T02646 (Missouri) | Primary |
Provider Name | William A Lynch |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1972531176 PECOS PAC ID: 6103956883 Enrollment ID: I20100607000174 |
Mailing Address | Practice Location Address |
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402 W Washington St, Cuba, MO 65453-1217 Ph: (573) 885-2323 | 402 W Washington St, Cuba, MO 65453-1217 Ph: (573) 885-2323 |
Dr. William Albert Lynch Jr., OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 402 W Washington St, Cuba, MO 65453 Phone: 573-885-2323 Fax: 573-885-2643 |