Surevision Eye Centers | |
12101 Woodcrest Executive Dr Ste 150, Creve Coeur, MO 63141-5050 | |
(314) 921-2020 | |
(314) 863-9977 |
Full Name | Surevision Eye Centers |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 12101 Woodcrest Executive Dr Ste 150, Creve Coeur, Missouri |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699857912 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Lawrence A Gans |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1396748000 PECOS PAC ID: 2062318165 Enrollment ID: I20041120000160 |
Provider Name | Tonya Bourn |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1851340152 PECOS PAC ID: 8527017664 Enrollment ID: I20050117000088 |
Provider Name | Mark A Ellison |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1952509424 PECOS PAC ID: 3779524111 Enrollment ID: I20070912000316 |
Provider Name | Eric R Ricker |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1649797077 PECOS PAC ID: 6709135890 Enrollment ID: I20180829000099 |
Provider Name | Jessica Lynn Weis |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1205406766 PECOS PAC ID: 1153724216 Enrollment ID: I20210813002782 |
Provider Name | Matthew Kyle Mccoy |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1043835580 PECOS PAC ID: 5294157509 Enrollment ID: I20220610002194 |
Mailing Address | Practice Location Address |
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Surevision Eye Centers 320 Brookes Dr, Suite 111, Hazelwood, MO 63042-2736 Ph: (314) 726-5669 | Surevision Eye Centers 12101 Woodcrest Executive Dr Ste 150, Creve Coeur, MO 63141-5050 Ph: (314) 921-2020 |