Tyler Wayne Mathenia, | |
514 Warrenton County Center, Warrenton, MO 63383 | |
(636) 377-2054 | |
(636) 377-2056 |
Full Name | Tyler Wayne Mathenia |
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Gender | Male |
Speciality | Optometrist |
Location | 514 Warrenton County Center, Warrenton, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033895131 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 2023021529 (Missouri) | Primary |
Provider Name | Clarkson Optometry Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1497155345 PECOS PAC ID: 0840411799 Enrollment ID: O20141020000232 |
Mailing Address | Practice Location Address |
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Tyler Wayne Mathenia, Po Box 207158, Dallas, TX 75320-7158 Ph: (636) 200-4393 | Tyler Wayne Mathenia, 514 Warrenton County Center, Warrenton, MO 63383 Ph: (636) 377-2054 |
Pec Warrenton Llc Optometrist Medicare: Medicare Enrolled Practice Location: 277 W Veterans Memorial Pkwy, Warrenton, MO 63383 Phone: 636-456-2020 Fax: 636-456-3411 | |
Ernst Eye Health Associates, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 277 W Veterans Memorial Pkwy, Warrenton, MO 63383 Phone: 636-456-2020 | |
Clarkson Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 514 Warren County Ctr, Warrenton, MO 63383 Phone: 636-200-4393 Fax: 636-377-2056 | |
Mcwilliams Eyecare, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 500 Warren County Ctr, Warrenton, MO 63383 Phone: 636-456-5379 Fax: 636-456-5410 | |
Dr. Jason Bradley Bechtoldt, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 277 W Veterans Memorial Pkwy, Warrenton, MO 63383 Phone: 636-456-2020 Fax: 636-456-3411 | |
Dr. Tina Marie Dunkin, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 514 Warren County Ctr, Warrenton, MO 63383 Phone: 636-377-2054 Fax: 636-377-2056 |