| Oneill Family Eyecare Pc | |
|
612 N 4th St, Oneill, NE 68763-1326 | |
| (402) 336-2220 | |
| (402) 336-4845 |
| Full Name | Oneill Family Eyecare Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 612 N 4th St, Oneill, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437200961 | NPI | - | NPPES |
| DG0428 | Other | NE | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Philip L Gildersleeve |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740388990 PECOS PAC ID: 7810093382 Enrollment ID: I20070516000480 |
| Mailing Address | Practice Location Address |
|---|---|
| Oneill Family Eyecare Pc 612 N 4th St, P.o. Box 818, Oneill, NE 68763-1326 Ph: (402) 336-2220 | Oneill Family Eyecare Pc 612 N 4th St, Oneill, NE 68763-1326 Ph: (402) 336-2220 |
Dr. Jonna Marie Kohle, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 214 N 10th St, Oneill, NE 68763 Phone: 402-336-2505 Fax: 402-336-3506 | |
Tessa W Pelster, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 214 N 10th St, Oneill, NE 68763 Phone: 402-336-2505 Fax: 402-336-3506 | |
Carl Scott Gutshall, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 214 N 10th St, Oneill, NE 68763 Phone: 402-336-2505 Fax: 402-336-3506 | |
Gutshall Kohle Pelster Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 214 N 10th St, Oneill, NE 68763 Phone: 402-336-2505 Fax: 402-336-2505 | |
Dr. Philip Lyle Gildersleeve, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 612 N 4th St, Pob 818, Oneill, NE 68763 Phone: 402-336-2220 Fax: 402-336-4845 |