Mark A Havera, OD | |
6663 Edwardsville Crossing Dr, Ste B, Edwardsville, IL 62025-2704 | |
(618) 659-2320 | |
(618) 655-0375 |
Full Name | Mark A Havera |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 13 Years |
Location | 6663 Edwardsville Crossing Dr, Edwardsville, Illinois |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306125166 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046010454 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Havera Eye Care Specialists Llc | 2961737549 | 2 |
Provider Name | Clarkson Optometry Illinois, Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1548635758 PECOS PAC ID: 7012292147 Enrollment ID: O20170331001568 |
Provider Name | Havera Eye Care Specialists Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1942862214 PECOS PAC ID: 2961737549 Enrollment ID: O20190718002578 |
Mailing Address | Practice Location Address |
---|---|
Mark A Havera, OD 40 E North St, Eureka, MO 63025-1205 Ph: (636) 200-4393 | Mark A Havera, OD 6663 Edwardsville Crossing Dr, Ste B, Edwardsville, IL 62025-2704 Ph: (618) 659-2320 |
Dr. Stephanie R Goggin, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6620 Center Grove Road, Edwardsville, IL 62025 Phone: 618-659-1900 Fax: 618-659-1901 | |
Edwardsville Vision Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2100 Troy Rd Ste 104, Edwardsville, IL 62025 Phone: 618-656-8888 Fax: 314-741-4947 | |
Lauren Bozsa, OD Optometrist Medicare: Medicare Enrolled Practice Location: 25 Dunlap Cove Dr, Edwardsville, IL 62025 Phone: 618-791-0513 | |
Ashley Ann Boatman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2100 Troy Rd, Edwardsville, IL 62025 Phone: 618-656-8888 Fax: 314-741-4947 | |
Dr. Sarah Elizabeth Kruse, OD Optometrist Medicare: Medicare Enrolled Practice Location: 6620 Center Grove Rd, Edwardsville, IL 62025 Phone: 618-659-1900 | |
Dr. Jennifer Brave Rafati, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2100 Troy Rd Ste 104, Edwardsville, IL 62025 Phone: 618-656-8888 Fax: 618-656-8920 | |
Dr. Natalie J. Hutchison, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2100 Troy Rd, Edwardsville, IL 62025 Phone: 618-656-8888 |