| Advanced Eyecare Pc | |
|
6708 Raytown Rd, Raytown, MO 64133-5272 | |
| (816) 353-1872 | |
| (816) 353-5022 |
| Full Name | Advanced Eyecare Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 6708 Raytown Rd, Raytown, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679510655 | NPI | - | NPPES |
| DG 2866 | Other | RAILROAD MEDICARE | |
| 0185130001 | Other | DMERC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | TO2419 (Missouri) | Primary |
| Provider Name | Dana J Krause |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083639157 PECOS PAC ID: 7012911431 Enrollment ID: I20060826000014 |
| Provider Name | Richard Craig Wilson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538143540 PECOS PAC ID: 3870648488 Enrollment ID: I20100520000253 |
| Provider Name | Jeffrey A Harter |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831326339 PECOS PAC ID: 9234254319 Enrollment ID: I20100913000831 |
| Provider Name | Melissa Marie Enevoldsen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396092961 PECOS PAC ID: 6406005081 Enrollment ID: I20140212000756 |
| Provider Name | Lauren Michelle Pachy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609305572 PECOS PAC ID: 0648544825 Enrollment ID: I20170927001278 |
| Provider Name | Julie Lafreniere |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467976373 PECOS PAC ID: 0547533598 Enrollment ID: I20181226001955 |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Eyecare Pc 6708 Raytown Rd, Raytown, MO 64133-5272 Ph: (816) 353-1872 | Advanced Eyecare Pc 6708 Raytown Rd, Raytown, MO 64133-5272 Ph: (816) 353-1872 |
Dr. Lawrence D Reed, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6708 Raytown Rd, Raytown, MO 64133 Phone: 816-353-1872 Fax: 816-353-5022 | |
Dr. Dana Janel Krause, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6708 Raytown Rd, Raytown, MO 64133 Phone: 816-353-1872 Fax: 816-353-5022 | |
Charles A Banks, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6708 Raytown Rd, Raytown, MO 64133 Phone: 816-353-1872 Fax: 816-353-5022 | |
Dr. Christine L Mitts, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6708 Raytown Rd, Raytown, MO 64133 Phone: 816-353-1872 | |
Dr. Steven L Padget, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9507 E 63rd St, Suite 101, Raytown, MO 64133 Phone: 816-356-5520 Fax: 816-356-2150 | |
Dr. Melissa Marie Enevoldsen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6708 Raytown Rd, Raytown, MO 64133 Phone: 816-353-1872 | |
Richard C Wilson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6708 Raytown Rd, Raytown, MO 64133 Phone: 816-353-1872 Fax: 816-353-5022 |