| |
916-a Nw 12th Avenue, Ava, MO 65608 | |
(417) 683-3612 | |
(417) 683-3999 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 916-a Nw 12th Avenue, Ava, Missouri |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326140187 | NPI | - | NPPES |
507305605 | Medicaid | MO | |
328163001 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
1000 James Epps Road, Suite 1, Branson, MO 65616-7203 Ph: (417) 334-7291 | 916-a Nw 12th Avenue, Ava, MO 65608 Ph: (417) 683-3612 |