| Dale Souleyrette, OD | |
|
1709 N Dixie Ave Ste 101, Elizabethtown, KY 42701-9496 | |
| (270) 765-2020 | |
| (502) 765-4482 |
| Full Name | Dale Souleyrette |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 36 Years |
| Location | 1709 N Dixie Ave Ste 101, Elizabethtown, Kentucky |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205991791 | NPI | - | NPPES |
| 77011419 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1141DT (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ky Doctors Of Optometry Pllc | 0941108732 | 50 |
| Provider Name | Ky Doctors Of Optometry Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1700890001 PECOS PAC ID: 0941108732 Enrollment ID: O20031231000020 |
| Provider Name | Clarkson Optometry Midwest Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073917597 PECOS PAC ID: 0749504165 Enrollment ID: O20160526000461 |
| Mailing Address | Practice Location Address |
|---|---|
| Dale Souleyrette, OD 11103 West Ave, Suite 6, San Antonio, TX 78213-1370 Ph: (210) 524-6663 | Dale Souleyrette, OD 1709 N Dixie Ave Ste 101, Elizabethtown, KY 42701-9496 Ph: (270) 765-2020 |
Dr. Lexie Turpin Honey, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1709 N Dixie Ave Ste 101, Elizabethtown, KY 42701 Phone: 606-219-1721 | |
Dr. Sasha Radford & Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 313 Nicholas Ridge Dr, Suite E-7, Elizabethtown, KY 42701 Phone: 270-872-9522 | |
Wise Vision Care Optometrist Medicare: Medicare Enrolled Practice Location: 2904 Dolphin Dr, Elizabethtown, KY 42701 Phone: 270-769-3708 Fax: 270-765-2043 | |
Dr. Kristen Lauerman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1709 N Dixie Ave, Elizabethtown, KY 42701 Phone: 270-765-2020 Fax: 502-736-4482 | |
20/20 Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 1709 N Dixie Ave Ste 101, Elizabethtown, KY 42701 Phone: 636-200-4393 Fax: 502-736-4490 | |
Dr. Teresa Ann Wise, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2904 Dolphin Dr, Elizabethtown, KY 42701 Phone: 270-769-3708 Fax: 270-765-2043 | |
Visionfirst Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2618 Ring Rd Ste 108, Elizabethtown, KY 42701 Phone: 270-765-1128 Fax: 270-854-1641 |