Kailey Utley, | |
8010 Oak Park Rd Ne, New Salisbury, IN 47161-8401 | |
(812) 366-3147 | |
Not Available |
Full Name | Kailey Utley |
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Gender | Female |
Speciality | Optometrist |
Location | 8010 Oak Park Rd Ne, New Salisbury, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841813391 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2020015887 (Missouri) | Secondary |
152W00000X | Optometrist | 18004367A (Indiana) | Secondary |
152W00000X | Optometrist | 2374DT (Kentucky) | Primary |
Provider Name | Insight Eyecare Associates Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669558862 PECOS PAC ID: 8527158096 Enrollment ID: O20071220000428 |
Mailing Address | Practice Location Address |
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Kailey Utley, 11362 Burgess Ave, Bridgeton, MO 63044-3102 Ph: () - | Kailey Utley, 8010 Oak Park Rd Ne, New Salisbury, IN 47161-8401 Ph: (812) 366-3147 |
Chelsea Werncke, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8010 Oak Park Rd Ne, New Salisbury, IN 47161 Phone: 812-366-3147 Fax: 812-366-3151 | |
Dr. Timothy Lee Masden, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8010 Oak Park Rd Ne, New Salisbury, IN 47161 Phone: 812-366-3147 Fax: 812-366-3151 | |
Dr. Rebecca Mae Walton, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8010 Oak Park Rd Ne, New Salisbury, IN 47161 Phone: 812-366-3147 Fax: 812-366-3151 | |
Trev Didelot, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8010 Oak Park Rd Ne, New Salisbury, IN 47161 Phone: 812-366-3147 | |
Insight Eyecare Associates Inc Optometrist Medicare: Medicare Enrolled Practice Location: 8010 Oak Park Rd Ne, New Salisbury, IN 47161 Phone: 812-366-3147 Fax: 812-366-3451 |