Sullivan Eye Care | |
280 E Springfield Rd, Sullivan, MO 63080-1364 | |
(573) 468-4032 | |
(573) 468-2935 |
Full Name | Sullivan Eye Care |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 280 E Springfield Rd, Sullivan, Missouri |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316072986 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | TO2592 (Missouri) | Primary |
Provider Name | David P Prange |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1053352559 PECOS PAC ID: 7214949114 Enrollment ID: I20060629000028 |
Provider Name | Jason T Riley |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1477752053 PECOS PAC ID: 6800982141 Enrollment ID: I20071017000574 |
Provider Name | Joseph Aemilius Stroetker |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1467489161 PECOS PAC ID: 7810083250 Enrollment ID: I20100920000995 |
Provider Name | Lauren Dermody Falconer |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1447825203 PECOS PAC ID: 1456752211 Enrollment ID: I20210630002295 |
Mailing Address | Practice Location Address |
---|---|
Sullivan Eye Care 280 E Springfield Rd, Sullivan, MO 63080-1364 Ph: (573) 468-4032 | Sullivan Eye Care 280 E Springfield Rd, Sullivan, MO 63080-1364 Ph: (573) 468-4032 |
Joseph A. Stroetker, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 280 E Springfield Rd, Sullivan, MO 63080 Phone: 573-468-4032 | |
Dr. Jason T Riley, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 280 E Springfield Rd, Sullivan, MO 63080 Phone: 573-468-4032 Fax: 573-468-2935 | |
Dr. Mark Alan Dalton, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 14 Community Plz, Sullivan, MO 63080 Phone: 573-468-2020 Fax: 636-556-9952 |