Family Eyecare Associates | |
138 S. Main, Suite C, Laurie, MO 65037 | |
(573) 374-5222 | |
Not Available |
Full Name | Family Eyecare Associates |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 138 S. Main, Laurie, Missouri |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871778977 | NPI | - | NPPES |
DN1000 | Other | MO | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | TO3452 (Missouri) | Primary |
Provider Name | Lisa K Groves |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1437182284 PECOS PAC ID: 6305896549 Enrollment ID: I20050126000372 |
Provider Name | Thomas A Dettmer |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1477548527 PECOS PAC ID: 8022038371 Enrollment ID: I20051201000075 |
Provider Name | Brian R Eveland |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1265449920 PECOS PAC ID: 3072410265 Enrollment ID: I20080423000060 |
Provider Name | Rachel E Engelbarts |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1396158259 PECOS PAC ID: 6800013178 Enrollment ID: I20180228000166 |
Provider Name | Brad A Engelbarts |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1740693431 PECOS PAC ID: 6103171145 Enrollment ID: I20180615001675 |
Mailing Address | Practice Location Address |
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Family Eyecare Associates Po Box 1185, Laurie, MO 65038 Ph: (573) 374-5222 | Family Eyecare Associates 138 S. Main, Suite C, Laurie, MO 65037 Ph: (573) 374-5222 |
John A Gazaway, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 138 S. Main, Suite C, Laurie, MO 65038 Phone: 573-374-5222 Fax: 573-374-7351 | |
Family Eyecare Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 138 South Main, Suite C, Laurie, MO 65038 Phone: 573-374-5222 Fax: 573-374-7351 |