Donovan L Crouch, OD | |
600 Ontario St, Storm Lake, IA 50588-1845 | |
(712) 732-3233 | |
(712) 732-1866 |
Full Name | Donovan L Crouch |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 600 Ontario St, Storm Lake, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255315644 | NPI | - | NPPES |
1082362 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1470 (Iowa) | Primary |
Provider Name | Vision Care Associates Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1528020773 PECOS PAC ID: 6507757457 Enrollment ID: O20040322001033 |
Mailing Address | Practice Location Address |
---|---|
Donovan L Crouch, OD 701 Winthrop Cir, Storm Lake, IA 50588-2747 Ph: (712) 732-2456 | Donovan L Crouch, OD 600 Ontario St, Storm Lake, IA 50588-1845 Ph: (712) 732-3233 |
Dr. Megan Alta Sullivan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 600 Ontario St, Storm Lake, IA 50588 Phone: 712-732-3233 | |
Fred Dehaan, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 600 Ontario St, Storm Lake, IA 50588 Phone: 712-732-3233 Fax: 712-732-1866 | |
Craig D Crouch, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 600 Ontario St, Storm Lake, IA 50588 Phone: 712-732-3233 Fax: 712-732-1866 | |
Derrick Randall, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 600 Ontario St, Storm Lake, IA 50588 Phone: 712-732-3233 Fax: 712-732-1866 | |
Vision Care Associates Pc Optometrist Medicare: Medicare Enrolled Practice Location: 600 Ontario St, Storm Lake, IA 50588 Phone: 712-732-3233 Fax: 712-732-1866 | |
Dr. Timothy Todd Masters, OD Optometrist Medicare: Medicare Enrolled Practice Location: 100 East Milwaukee Ave, Storm Lake, IA 50588 Phone: 712-732-7624 Fax: 712-732-7627 |