Dr Jacqueline Agnes Grimm, OD | |
516 E Nizhoni Blvd, Gallup, NM 87301-5748 | |
(505) 722-1000 | |
Not Available |
Full Name | Dr Jacqueline Agnes Grimm |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 6 Years |
Location | 516 E Nizhoni Blvd, Gallup, New Mexico |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245892645 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2145DT (Kentucky) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Clarkson Optometry Midwest Inc | 0749504165 | 79 |
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 |
---|---|
Dr Jacqueline Agnes Grimm, OD 2240 Bonhaven Rd, Lexington, KY 40515-1150 Ph: (859) 421-3369 | Dr Jacqueline Agnes Grimm, OD 516 E Nizhoni Blvd, Gallup, NM 87301-5748 Ph: (505) 722-1000 |
Tayde Analy Contreras, OD Optometrist Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 | |
Dr. Farid Elie Khoury, O.D Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1500 S 2nd St Ste 5, Gallup, NM 87301 Phone: 505-979-0894 Fax: 505-726-2871 | |
Eye Associates Of New Mexico Optometrist Medicare: Not Enrolled in Medicare Practice Location: 311 Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-2268 Fax: 505-863-2874 | |
Gallup Eye Group Llc Optometrist Medicare: Medicare Enrolled Practice Location: 816 Boardman Dr, Gallup, NM 87301 Phone: 505-339-2015 Fax: 505-492-0904 | |
Dr. Walter Ernest Balfour, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 219 W Coal Ave, Gallup, NM 87301 Phone: 505-863-6448 Fax: 505-722-6491 | |
Jesse Allen Hogan, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1326 |