Dr Phillip Mark Lueckenhoff, OD | |
2533 Woodson Rd, Overland, MO 63114-5436 | |
(314) 423-3874 | |
Not Available |
Full Name | Dr Phillip Mark Lueckenhoff |
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Gender | Male |
Speciality | Optometrist |
Location | 2533 Woodson Rd, Overland, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063862969 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2016020853 (Missouri) | Primary |
Provider Name | Overland Optical, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1457377848 PECOS PAC ID: 4284616814 Enrollment ID: O20040607000222 |
Mailing Address | Practice Location Address |
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Dr Phillip Mark Lueckenhoff, OD 2533 Woodson Rd, Overland, MO 63114-5436 Ph: (314) 423-3874 | Dr Phillip Mark Lueckenhoff, OD 2533 Woodson Rd, Overland, MO 63114-5436 Ph: (314) 423-3874 |
Dr. Jonathan Tyler Thayer, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9082 Overland Plz, Overland, MO 63114 Phone: 314-227-1132 Fax: 314-227-1133 | |
Fyizza Abbas, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9082 Overland Plz, Overland, MO 63114 Phone: 314-227-1132 Fax: 314-227-1133 | |
Overland Eye Associates Optometrist Medicare: Medicare Enrolled Practice Location: 2040 Woodson Rd, Suite 100, Overland, MO 63114 Phone: 314-427-1519 | |
Dustin William Anderson, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9082 Overland Plz, Overland, MO 63114 Phone: 314-227-1132 Fax: 314-227-1133 | |
Clarkson Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9082 Overland Plz, Overland, MO 63114 Phone: 636-200-4393 Fax: 314-227-1133 | |
Daniel D Seibert, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2040 Woodson Rd, Suite 100, Overland, MO 63114 Phone: 314-427-1519 Fax: 314-427-1522 |