| |
601 E Russell Ave, Suite A, Warrensburg, MO 64093-9605 | |
(660) 747-2020 | |
(660) 747-0574 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 601 E Russell Ave, Warrensburg, Missouri |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730596248 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
152WC0802X | Optometrist - Corneal And Contact Management | (* (Not Available)) | Secondary |
Provider Name | David E Orson |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1043290562 PECOS PAC ID: 9234173790 Enrollment ID: I20050616000430 |
Provider Name | Kyle Dale Johnson |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1699785410 PECOS PAC ID: 9133141138 Enrollment ID: I20051219000629 |
Provider Name | Jason S Lake |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1629022777 PECOS PAC ID: 6709899826 Enrollment ID: I20060713000163 |
Provider Name | Susan L Lake |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1285687210 PECOS PAC ID: 5890708911 Enrollment ID: I20060713000172 |
Provider Name | John Gelvin |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1396716700 PECOS PAC ID: 9638271877 Enrollment ID: I20070219000685 |
Provider Name | Brett H Liesemeyer |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1225117518 PECOS PAC ID: 6204908882 Enrollment ID: I20080627000046 |
Provider Name | Aaron Samuel Law |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1255587242 PECOS PAC ID: 0244398691 Enrollment ID: I20081029000340 |
Provider Name | Shelley W Williams |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1750384111 PECOS PAC ID: 6608962063 Enrollment ID: I20100818001354 |
Provider Name | Andrew R Yeager |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1497249429 PECOS PAC ID: 4981953601 Enrollment ID: I20180814001048 |
Provider Name | Katelyn Breann Hardy |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1720601719 PECOS PAC ID: 1052733631 Enrollment ID: I20200629000741 |
Provider Name | David Edward Baldwin |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1356960579 PECOS PAC ID: 5890103840 Enrollment ID: I20210413000893 |
Provider Name | Macy Breanne Arp |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1871223883 PECOS PAC ID: 2163803974 Enrollment ID: I20220725001944 |
Provider Name | Paige E Hart |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1275265076 PECOS PAC ID: 6608250147 Enrollment ID: I20220831003219 |
Provider Name | Kelsey Starman |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1265997522 PECOS PAC ID: 3072976166 Enrollment ID: I20230822002606 |
Mailing Address | Practice Location Address |
---|---|
601 E Russell Ave, Suite A, Warrensburg, MO 64093-9605 Ph: (660) 747-2020 | 601 E Russell Ave, Suite A, Warrensburg, MO 64093-9605 Ph: (660) 747-2020 |
Dr. Virginia Nicole Manuel, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 608 N Maguire St, Warrensburg, MO 64093 Phone: 660-747-7300 | |
Quality Family Eyecare Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 601 E Russell Ave, Suite A, Warrensburg, MO 64093 Phone: 660-747-2020 Fax: 660-747-0574 | |
Kelsey Starman, Optometrist Medicare: Medicare Enrolled Practice Location: 601 E Russell Ave Ste A, Warrensburg, MO 64093 Phone: 660-250-2442 | |
Paul Brinckman, Od, Llc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 301 E Cooper Ave, Warrensburg, MO 64093 Phone: 660-747-7117 | |
Dr. Krystal Rae Adams Matson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 608 N Maguire St, Warrensburg, MO 64093 Phone: 660-747-7300 |