| Vision Source Bolivar | |
|
680 E Aldrich Road, Bolivar, MO 65613 | |
| (417) 777-9000 | |
| (417) 777-9003 |
| Full Name | Vision Source Bolivar |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 680 E Aldrich Road, Bolivar, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578969960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 20060182040 (Missouri) | Primary |
| Provider Name | Douglas S Kirar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982709697 PECOS PAC ID: 5698677326 Enrollment ID: I20040123000168 |
| Provider Name | Laura B Montgomery |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881761161 PECOS PAC ID: 2860494192 Enrollment ID: I20070215000246 |
| Provider Name | Erin E Genua |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184880692 PECOS PAC ID: 3870655590 Enrollment ID: I20081215000253 |
| Mailing Address | Practice Location Address |
|---|---|
| Vision Source Bolivar 325 S Main Ave, Bolivar, MO 65613-2052 Ph: (417) 777-9000 | Vision Source Bolivar 680 E Aldrich Road, Bolivar, MO 65613 Ph: (417) 777-9000 |
Orchard Eye Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1111 E Cambridge St, Bolivar, MO 65613 Phone: 417-839-7724 | |
Kemp Family Eye Care, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 325 S Main Ave, Bolivar, MO 65613 Phone: 417-777-9000 Fax: 417-777-9003 | |
Wesley Don Kemp, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 325 S Main Ave, Bolivar, MO 65613 Phone: 417-777-9000 Fax: 417-777-9003 | |
Steven Bartholomew Od Llc Optometrist Medicare: Medicare Enrolled Practice Location: 2451 S Springfield Ave, Bolivar, MO 65613 Phone: 417-777-7662 Fax: 417-777-6917 | |
Dr. Shay Andrea Sechler, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1111 E Cambridge St, Bolivar, MO 65613 Phone: 417-326-6001 | |
Mr. Richard Lane Nutt, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1111 E Cambridge St, Bolivar, MO 65613 Phone: 417-326-6001 |