Kimberling Vision Center, Inc | |
1 Woodland Ave Ste 2, Kimberling City, MO 65686-9738 | |
(417) 739-2411 | |
(417) 739-2407 |
Full Name | Kimberling Vision Center, Inc |
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Type | Facility |
Speciality | Optometrist |
Location | 1 Woodland Ave Ste 2, Kimberling City, Missouri |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417001009 | NPI | - | NPPES |
317857019 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | MOTO3116 (Missouri) | Primary |
Provider Name | Debra Lynne Williams |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1215931886 PECOS PAC ID: 1850352154 Enrollment ID: I20041020000830 |
Provider Name | Kylee E Goddard |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1255916052 PECOS PAC ID: 7618371303 Enrollment ID: I20210803000428 |
Mailing Address | Practice Location Address |
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Kimberling Vision Center, Inc 1 Woodland Ave Ste 2, Kimberling City, MO 65686-9738 Ph: (417) 739-2411 | Kimberling Vision Center, Inc 1 Woodland Ave Ste 2, Kimberling City, MO 65686-9738 Ph: (417) 739-2411 |
Dr. Debra Lynne Williams, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1 Woodland Ave, Ste 2, Kimberling City, MO 65686 Phone: 417-739-2411 Fax: 417-739-2407 | |
Kylee Goddard, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1 Woodland Ave, Kimberling City, MO 65686 Phone: 417-739-2411 Fax: 417-739-2407 |