| Wildwood Vision Specialists Llc | |
|
2751 Fountain Pl, Suite 2, Wildwood, MO 63040-1202 | |
| (314) 583-1548 | |
| (636) 273-3918 |
| Full Name | Wildwood Vision Specialists Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2751 Fountain Pl, Wildwood, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174806301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2011018556 (Missouri) | Secondary |
| 152W00000X | Optometrist | 2011018560 (Missouri) | Primary |
| Provider Name | Kimberly E Brown |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417235417 PECOS PAC ID: 1658542394 Enrollment ID: I20110929000032 |
| Provider Name | Christine M Hayes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982991386 PECOS PAC ID: 7618149972 Enrollment ID: I20111010000081 |
| Mailing Address | Practice Location Address |
|---|---|
| Wildwood Vision Specialists Llc 2751 Fountain Pl, Suite 2, Wildwood, MO 63040-1202 Ph: (314) 583-1548 | Wildwood Vision Specialists Llc 2751 Fountain Pl, Suite 2, Wildwood, MO 63040-1202 Ph: (314) 583-1548 |
Dr. David Paul Prange, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 16978 Manchester Rd, Wildwood, MO 63040 Phone: 636-273-6336 Fax: 636-273-9172 | |
Clarkson Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2404 Taylor Rd, Wildwood, MO 63040 Phone: 636-458-8787 | |
Jacques Optometry Llc Optometrist Medicare: Medicare Enrolled Practice Location: 16972 Manchester Rd, Wildwood, MO 63040 Phone: 636-477-5187 | |
Dr. Kimberly E Brown, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2751 Fountain Pl, Suite 2, Wildwood, MO 63040 Phone: 636-273-3910 Fax: 636-273-3918 | |
Kyle Sherwood, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 16978 Manchester Rd, Wildwood, MO 63040 Phone: 636-273-6336 | |
Dr. Alana Keller, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2404 Taylor Rd, Wildwood, MO 63040 Phone: 636-458-8787 Fax: 636-405-0629 |