| Gennadiy Dameshek, OD | |
|
126 S Main St, De Soto, MO 63020-2104 | |
| (636) 586-5406 | |
| Not Available |
| Full Name | Gennadiy Dameshek |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 126 S Main St, De Soto, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871799106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2006020342 (Missouri) | Primary |
| 152W00000X | Optometrist | 046.009981 (Illinois) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Gennadiy Dameshek, OD 126 S Main St, De Soto, MO 63020-2104 Ph: (636) 586-5406 | Gennadiy Dameshek, OD 126 S Main St, De Soto, MO 63020-2104 Ph: (636) 586-5406 |
Renee Kathleen Lane, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 12862 State Route 21, De Soto, MO 63020 Phone: 636-586-9745 Fax: 636-586-0901 | |
De Soto Eye Care Llc Optometrist Medicare: Medicare Enrolled Practice Location: 126 S Main St, De Soto, MO 63020 Phone: 636-586-5406 Fax: 636-586-1969 | |
Thomas L. Monje, O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 26 Jefferson Sq, De Soto, MO 63020 Phone: 636-586-2626 Fax: 636-586-2700 |