Dr Raymond Fada Jr, OD | |
6157 Mid Rivers Mall Dr, 202, Saint Peters, MO 63304-1105 | |
(636) 926-3647 | |
(636) 926-3684 |
Full Name | Dr Raymond Fada Jr |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 6157 Mid Rivers Mall Dr, Saint Peters, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013913094 | NPI | - | NPPES |
3180812005 | Medicaid | MO | |
410035943 | Other | MO | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | T02848 (Missouri) | Primary |
Provider Name | Clarkson Optometry Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1497155345 PECOS PAC ID: 0840411799 Enrollment ID: O20141020000232 |
Mailing Address | Practice Location Address |
---|---|
Dr Raymond Fada Jr, OD 40 E North St, Eureka, MO 63025-1205 Ph: (636) 200-4393 | Dr Raymond Fada Jr, OD 6157 Mid Rivers Mall Dr, 202, Saint Peters, MO 63304-1105 Ph: (636) 926-3647 |
Dr. Pamela Coslick, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6157 Mid Rivers Mall Dr, Saint Peters, MO 63304 Phone: 636-926-3647 Fax: 636-926-3684 | |
Matthew K Mccoy, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3821 Veterans Memorial Pkwy, Saint Peters, MO 63376 Phone: 636-928-1111 Fax: 636-928-1111 | |
Dr. Patricia A Bequette, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1600 Mid Rivers Mall, Saint Peters, MO 63376 Phone: 636-397-1222 Fax: 636-278-1688 | |
Ryan Dement, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3821 Veterans Memorial Pkwy, Saint Peters, MO 63376 Phone: 636-928-1111 | |
Appelman Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 100 Piper Hill Dr, Suite D, Saint Peters, MO 63376 Phone: 636-928-3937 | |
Dr. Kevin Greeley Lydon, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6764 Mexico Rd, Saint Peters, MO 63376 Phone: 636-397-2020 |