| St Peters Vision Center Inc | |
|
6664 Mexico Rd, Saint Peters, MO 63376-4131 | |
| (636) 970-2929 | |
| (636) 279-9020 |
| Full Name | St Peters Vision Center Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 6664 Mexico Rd, Saint Peters, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164693677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | TO2230 (Missouri) | Primary |
| Provider Name | James L Jacob |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972640977 PECOS PAC ID: 6507943867 Enrollment ID: I20080410000487 |
| Mailing Address | Practice Location Address |
|---|---|
| St Peters Vision Center Inc 6664 Mexico Rd, Saint Peters, MO 63376-4131 Ph: (636) 970-2929 | St Peters Vision Center Inc 6664 Mexico Rd, Saint Peters, MO 63376-4131 Ph: (636) 970-2929 |
Dr. Raymond Fada Jr., O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 6157 Mid Rivers Mall Dr, 202, Saint Peters, MO 63304 Phone: 636-926-3647 Fax: 636-926-3684 | |
Dr. Pamela Coslick, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6157 Mid Rivers Mall Dr, Saint Peters, MO 63304 Phone: 636-926-3647 Fax: 636-926-3684 | |
Matthew K Mccoy, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3821 Veterans Memorial Pkwy, Saint Peters, MO 63376 Phone: 636-928-1111 Fax: 636-928-1111 | |
Dr. Patricia A Bequette, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1600 Mid Rivers Mall, Saint Peters, MO 63376 Phone: 636-397-1222 Fax: 636-278-1688 | |
Ryan Dement, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3821 Veterans Memorial Pkwy, Saint Peters, MO 63376 Phone: 636-928-1111 | |
Appelman Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 100 Piper Hill Dr, Suite D, Saint Peters, MO 63376 Phone: 636-928-3937 | |
Dr. Kevin Greeley Lydon, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6764 Mexico Rd, Saint Peters, MO 63376 Phone: 636-397-2020 |