| Jaclyn Lopez, OD | |
|
851 E 5th St Ste 112, Washington, MO 63090-3128 | |
| (636) 239-8345 | |
| Not Available |
| Full Name | Jaclyn Lopez |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 851 E 5th St Ste 112, Washington, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871224212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2023033367 (Missouri) | Primary |
| Provider Name | Mercy Health Services Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1164567897 PECOS PAC ID: 2264329168 Enrollment ID: O20070723000817 |
| Provider Name | Mercy Clinic Ophthalmology Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003179656 PECOS PAC ID: 1951544428 Enrollment ID: O20130830000818 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaclyn Lopez, OD 851 E 5th St Ste 112, Washington, MO 63090-3128 Ph: (636) 239-8345 | Jaclyn Lopez, OD 851 E 5th St Ste 112, Washington, MO 63090-3128 Ph: (636) 239-8345 |
Dr. Peter M. Gubany, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1090 Washington Square Shopping Ctr, Washington, MO 63090 Phone: 636-239-2020 Fax: 636-239-5766 | |
Mercy Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 851 E 5th St, Suite 112, Washington, MO 63090 Phone: 636-239-8345 Fax: 636-390-7295 | |
Obermark Optometry, Inc Optometrist Medicare: Medicare Enrolled Practice Location: 222 W Main St, Washington, MO 63090 Phone: 636-239-7144 Fax: 636-239-6266 | |
Dr. Amanda Jessie Bissell, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3071 Phoenix Center Dr, Washington, MO 63090 Phone: 636-777-2345 Fax: 636-777-2115 | |
Valley Eye Clinic & Optical P.a. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 901 E 3rd St, Washington, MO 63090 Phone: 636-390-3999 Fax: 636-390-3959 | |
Theodore K. Sullivan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3071 Phoenix Center Dr, Washington, MO 63090 Phone: 636-777-2345 Fax: 636-777-2115 | |
Dr. Alexander David Mcclure, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 851 E 5th St Ste 112, Washington, MO 63090 Phone: 636-239-8345 |