Success Vision Eyecare Of Cape | |
3019 William St Ste 102, Cape Girardeau, MO 63703-6385 | |
(918) 895-1700 | |
Not Available |
Full Name | Success Vision Eyecare Of Cape |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 3019 William St Ste 102, Cape Girardeau, Missouri |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417428509 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Bryan W Wood |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1275648677 PECOS PAC ID: 5597761221 Enrollment ID: I20061019000542 |
Provider Name | Theodore K. Sullivan |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1437153772 PECOS PAC ID: 3971628017 Enrollment ID: I20100914000260 |
Provider Name | Morgan A Strand |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1447506381 PECOS PAC ID: 1658521182 Enrollment ID: I20131121001380 |
Mailing Address | Practice Location Address |
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Success Vision Eyecare Of Cape 5312 W 41st St, Tulsa, OK 74107-6110 Ph: (918) 895-1700 | Success Vision Eyecare Of Cape 3019 William St Ste 102, Cape Girardeau, MO 63703-6385 Ph: (918) 895-1700 |
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