Eyecare Professionals, Inc | |
111 N Main St, Nevada, MO 64772-2330 | |
(417) 667-3076 | |
(417) 667-8690 |
Full Name | Eyecare Professionals, Inc |
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Type | Facility |
Speciality | Optometrist |
Location | 111 N Main St, Nevada, Missouri |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891820122 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Delton L Fast |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1770618084 PECOS PAC ID: 0446228027 Enrollment ID: I20040927000634 |
Provider Name | Jeremy Michael Fast |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1730217795 PECOS PAC ID: 1254309834 Enrollment ID: I20040930000388 |
Mailing Address | Practice Location Address |
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Eyecare Professionals, Inc 111 N Main St, Nevada, MO 64772-2330 Ph: (417) 667-3076 | Eyecare Professionals, Inc 111 N Main St, Nevada, MO 64772-2330 Ph: (417) 667-3076 |
Dr. Ronnie J Hatch, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 120 S Washington St, Nevada, MO 64772 Phone: 417-667-2560 | |
Dr. Jeremy M. Fast, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 111 N Main St, Nevada, MO 64772 Phone: 417-667-3076 | |
Dr. Delton L Fast, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 111 N Main St, Nevada, MO 64772 Phone: 417-667-3076 Fax: 417-667-8690 |