| Mccullough Eyecare, Pc | |
|
202 Walnut St, Festus, MO 63028-1850 | |
| (636) 937-3130 | |
| (636) 937-7202 |
| Full Name | Mccullough Eyecare, Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 202 Walnut St, Festus, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285804286 | NPI | - | NPPES |
| DP6365 | Other | MO | PALMETTO GBA-RR MEDICARE |
| 319118907 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2002014341 (Missouri) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| Provider Name | Jarod L Mccullough |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841323300 PECOS PAC ID: 8527033265 Enrollment ID: I20040827000043 |
| Provider Name | Alyssa M Harris |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831542414 PECOS PAC ID: 6305115007 Enrollment ID: I20181207002343 |
| Mailing Address | Practice Location Address |
|---|---|
| Mccullough Eyecare, Pc 202 Walnut St, Festus, MO 63028-1850 Ph: (636) 937-3130 | Mccullough Eyecare, Pc 202 Walnut St, Festus, MO 63028-1850 Ph: (636) 937-3130 |
Mark D Peckham Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 600 Westwood, Festus, MO 63028 Phone: 636-937-4747 Fax: 636-937-4747 | |
Dr. Mark D Peckham, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 600 Westwood Dr S, Mark D Peckham Od, Festus, MO 63028 Phone: 636-937-4747 Fax: 636-937-4747 | |
Dr. Bradford B. Kesler, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1400 Us Highway 61, Suite 130, Festus, MO 63028 Phone: 636-937-8855 Fax: 636-937-3751 | |
Robert William Duncan, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 341a N Creek Dr, Festus, MO 63028 Phone: 636-931-5665 | |
Eyes On Main, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 223 E. Main St, Festus, MO 63028 Phone: 636-937-2399 | |
Clarkson Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 341 A North Creek Dr, Festus, MO 63028 Phone: 636-200-4393 Fax: 636-931-5554 |