| Tw White Od Pc | |
|
410 W Hayward Dr, Mount Vernon, MO 65712-7368 | |
| (417) 466-2100 | |
| (417) 466-0432 |
| Full Name | Tw White Od Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 410 W Hayward Dr, Mount Vernon, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851623185 | NPI | - | NPPES |
| 310151006 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2104 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tw White Od Pc Po Box 311, 410 W Hayward Dr, Mount Vernon, MO 65712-0311 Ph: (417) 466-2100 | Tw White Od Pc 410 W Hayward Dr, Mount Vernon, MO 65712-7368 Ph: (417) 466-2100 |
Dr. Anne Frances Polasek, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 600 N Main St, Mount Vernon, MO 65712 Phone: 417-466-0119 Fax: 417-466-0126 | |
Dr. David Michael Werner, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 600 N Main St, Gene Taylor V.a. Outpatient Clinic, Mount Vernon, MO 65712 Phone: 417-466-0182 Fax: 417-466-0126 | |
Mount Vernon Eyecare Associates, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 104 S Hickory, Mount Vernon, MO 65712 Phone: 417-466-7620 Fax: 417-466-7620 |