Kenneth R Mueller, OD | |
215 Progress Rd, Hannibal, MO 63401-6637 | |
(573) 248-1616 | |
(573) 248-1963 |
Full Name | Kenneth R Mueller |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 34 Years |
Location | 215 Progress Rd, Hannibal, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013966076 | NPI | - | NPPES |
315344606 | Medicaid | MO | |
1013966076 | Medicaid | IL | |
1013966076 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046008326 (Illinois) | Secondary |
152W00000X | Optometrist | 077734 (Iowa) | Secondary |
152W00000X | Optometrist | T02919 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
International Eyecare Center Llc | 0244125235 | 23 |
International Eyecare Center Llc | 0244125235 | 23 |
Provider Name | International Eyecare Center Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1760405047 PECOS PAC ID: 0244125235 Enrollment ID: O20050208000641 |
Mailing Address | Practice Location Address |
---|---|
Kenneth R Mueller, OD 215 Progress Rd, Hannibal, MO 63401-6637 Ph: (573) 248-1616 | Kenneth R Mueller, OD 215 Progress Rd, Hannibal, MO 63401-6637 Ph: (573) 248-1616 |
Paul Tracy Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3650 Stardust Dr, Hannibal, MO 63401 Phone: 573-406-1503 Fax: 573-406-1057 | |
Dr. Kent Randall Wolber, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 175 Shinn Ln, Hannibal, MO 63401 Phone: 573-406-5730 Fax: 573-406-1369 | |
International Eyecare Center, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 215 Progress Rd, Hannibal, MO 63401 Phone: 573-248-1616 | |
Main Street Eye Clinic-a Division Of Iec Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3201 Highway 61, Suite A, Hannibal, MO 63401 Phone: 573-248-3937 Fax: 573-221-4393 | |
Main Street Eye Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3201 Highway 61, Hannibal, MO 63401 Phone: 573-248-3937 Fax: 573-221-4393 | |
Dr. Elizabeth Marie Monroe, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 175 Shinn Ln, Hannibal, MO 63401 Phone: 573-248-0008 Fax: 573-248-3097 |