| Main Street Eye Clinic-a Division Of Iec | |
|
3201 Highway 61, Suite A, Hannibal, MO 63401-6578 | |
| (573) 248-3937 | |
| (573) 221-4393 |
| Full Name | Main Street Eye Clinic-a Division Of Iec |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3201 Highway 61, Hannibal, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215378963 | NPI | - | NPPES |
| 1760405047 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| 332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Eye Clinic-a Division Of Iec 3201 Highway 61, Suite A, Hannibal, MO 63401-6578 Ph: (573) 248-3937 | Main Street Eye Clinic-a Division Of Iec 3201 Highway 61, Suite A, Hannibal, MO 63401-6578 Ph: (573) 248-3937 |
Kenneth R Mueller, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 215 Progress Rd, Hannibal, MO 63401 Phone: 573-248-1616 Fax: 573-248-1963 | |
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 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 |