| |
506 W Newton St, Versailles, MO 65084-1068 | |
(573) 378-6646 | |
(573) 378-6864 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 506 W Newton St, Versailles, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548591837 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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506 W Newton St, Versailles, MO 65084-1068 Ph: (573) 378-6646 | 506 W Newton St, Versailles, MO 65084-1068 Ph: (573) 378-6646 |
Kevin K.e. Carl, O.d. Dba Eye Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 506 W Newton St, Versailles, MO 65084 Phone: 573-378-6646 Fax: 573-378-6864 |