Elena Lopez Hill, OD | |
1500 1st St, Kennett, MO 63857-2522 | |
(573) 888-5331 | |
Not Available |
Full Name | Elena Lopez Hill |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 1500 1st St, Kennett, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003298928 | NPI | - | NPPES |
210168722 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2721 (Arkansas) | Secondary |
152W00000X | Optometrist | 2017028246 (Missouri) | Primary |
Provider Name | Shane E Ford Od Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1033178736 PECOS PAC ID: 3678529575 Enrollment ID: O20050323001316 |
Mailing Address | Practice Location Address |
---|---|
Elena Lopez Hill, OD 1500 1st St, Kennett, MO 63857-2522 Ph: (573) 888-5331 | Elena Lopez Hill, OD 1500 1st St, Kennett, MO 63857-2522 Ph: (573) 888-5331 |
Brandon Douglas Rouse, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1301 Cook St, Kennett, MO 63857 Phone: 573-888-2884 Fax: 575-888-3799 | |
Rouse Vision Clinic,llc Optometrist Medicare: Medicare Enrolled Practice Location: 1301 Cook St, Kennett, MO 63857 Phone: 573-888-2884 Fax: 573-888-3799 | |
T M Swinger & D V Mckillip, Ptr Optometrist Medicare: Not Enrolled in Medicare Practice Location: 214 1st St, Kennett, MO 63857 Phone: 573-888-6718 | |
Wells Eye Care, Llc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1500 1st St, Kennett, MO 63857 Phone: 573-888-5331 Fax: 573-888-1335 | |
Dr. Merrill Thomas Miller, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 303 Teaco Rd, Kennett, MO 63857 Phone: 573-888-5896 Fax: 573-888-1501 |