| Dexter Family Eye Care, Llc | |
|
223 N Walnut St Dexter MO 63841-1767 | |
| (573) 614-5393 | |
| (573) 614-5639 |
| Full Name | Dexter Family Eye Care, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 223 N Walnut St, Dexter, Missouri |
| Authorized Official Name and Position | Jennifer K Howard (OPTOMETRIST/ OWNER) |
| Authorized Official Contact | 5736145393 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dexter Family Eye Care, Llc 223 N Walnut St Dexter MO 63841-1767 Ph: (573) 614-5393 | Dexter Family Eye Care, Llc 223 N Walnut St Dexter MO 63841-1767 Ph: (573) 614-5393 |
| NPI Number | 1962658971 |
|---|---|
| Provider Enumeration Date | 08/10/2008 |
| Last Update Date | 08/10/2008 |
| Medicare PECOS PAC ID | 9436224888 |
|---|---|
| Medicare Enrollment ID | O20080819000577 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962658971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2008017078 (Missouri) | Primary |
| Provider Name | Jennifer Kay Howard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114189347 PECOS PAC ID: 9537234984 Enrollment ID: I20080819000568 |
| Provider Name | Kathryn A Mayberry |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124275235 PECOS PAC ID: 2365501764 Enrollment ID: I20091029000292 |
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