| |
217 S College St, Richmond, MO 64085-1614 | |
(816) 776-2900 | |
(816) 776-2929 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 217 S College St, Richmond, Missouri |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265496855 | NPI | - | NPPES |
321111411 | Medicaid | MO | |
04580012 | Other | BC BS KC 8 DIGIT BILLING NUMBER | |
04580012 | Other | BLUE CROSS BLUE SHIELD KC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
Mailing Address | Practice Location Address |
---|---|
602 N Maguire St, Warrensburg, MO 64093-1420 Ph: (660) 747-7300 | 217 S College St, Richmond, MO 64085-1614 Ph: (816) 776-2900 |
Dr. Daniel Novack, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 908 Walton Way, Richmond, MO 64085 Phone: 816-776-6918 Fax: 816-776-7695 |