| Divine Family Eye Care, Llc | |
|
1347 N. Westwood Blvd., Poplar Bluff, MO 63901 | |
| (573) 429-1918 | |
| Not Available |
| Full Name | Divine Family Eye Care, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1347 N. Westwood Blvd., Poplar Bluff, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871859918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2010020558 (Missouri) | Primary |
| Provider Name | Kylie Marie Divine |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558672162 PECOS PAC ID: 5193840932 Enrollment ID: I20100916000485 |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Family Eye Care, Llc 1347 N Westwood Blvd, Poplar Bluff, MO 63901 Ph: (573) 712-2333 | Divine Family Eye Care, Llc 1347 N. Westwood Blvd., Poplar Bluff, MO 63901 Ph: (573) 429-1918 |
Dr. Kayla S Melton, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1500 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-778-4303 | |
Drjerry W Long Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 213 N Broadway St, Poplar Bluff, MO 63901 Phone: 573-785-8476 Fax: 573-785-8477 | |
Dr. Michael R. Penney Optometrist Pc Optometrist Medicare: Medicare Enrolled Practice Location: 3061 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-785-1442 Fax: 573-776-6024 | |
Franklin Vision Group Optometrist Medicare: Not Enrolled in Medicare Practice Location: 333 S Westwood Blvd, Vision Center, Poplar Bluff, MO 63901 Phone: 409-617-9774 | |
Dr Jerry W Long Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 213 N Broadway St, Poplar Bluff, MO 63901 Phone: 573-785-8476 Fax: 573-785-8477 | |
Tyler N Tinsley, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2400 Lucy Lee Pkwy Ste E, Poplar Bluff, MO 63901 Phone: 573-686-3991 Fax: 573-686-3992 | |
Dr. Jerry Wayne Long, O.D Optometrist Medicare: Not Enrolled in Medicare Practice Location: 213 N Broadway St, Poplar Bluff, MO 63901 Phone: 573-785-8476 Fax: 573-785-8477 |