Visionary Eyecare | |
207 E Lewis And Clark Pkwy, Clarksville, IN 47129 | |
(812) 945-2573 | |
(812) 945-2536 |
Full Name | Visionary Eyecare |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 207 E Lewis And Clark Pkwy, Clarksville, Indiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306025333 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 18003479A (Indiana) | Primary |
Provider Name | Kelly P Dice |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1508813270 PECOS PAC ID: 0840203097 Enrollment ID: I20071226000200 |
Mailing Address | Practice Location Address |
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Visionary Eyecare 207 E Lewis And Clark Pkwy, Clarksville, IN 47129 Ph: (812) 945-2573 | Visionary Eyecare 207 E Lewis And Clark Pkwy, Clarksville, IN 47129 Ph: (812) 945-2573 |
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Clarkson Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 325 E Lewis And Clark Pkwy Ste 200, Clarksville, IN 47129 Phone: 636-200-4393 Fax: 636-527-0766 | |
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