Nicole Wilson, OD | |
200 Costco Way, Saint Peters, MO 63376-4385 | |
(636) 970-4007 | |
(314) 269-0325 |
Full Name | Nicole Wilson |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 7 Years |
Location | 200 Costco Way, Saint Peters, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154973220 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046.011340L (Illinois) | Secondary |
152W00000X | Optometrist | 2019019708 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Smith Vision Care Llc | 3476931320 | 3 |
Provider Name | Overland Optical, Inc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1457377848 PECOS PAC ID: 4284616814 Enrollment ID: O20040607000222 |
Provider Name | Smith Vision Care Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1689329336 PECOS PAC ID: 3476931320 Enrollment ID: O20220604000383 |
Mailing Address | Practice Location Address |
---|---|
Nicole Wilson, OD 200 Costco Way, Saint Peters, MO 63376-4385 Ph: (636) 970-4007 | Nicole Wilson, OD 200 Costco Way, Saint Peters, MO 63376-4385 Ph: (636) 970-4007 |
Dr. Raymond Fada Jr., O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 6157 Mid Rivers Mall Dr, 202, Saint Peters, MO 63304 Phone: 636-926-3647 Fax: 636-926-3684 | |
Dr. Pamela Coslick, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6157 Mid Rivers Mall Dr, Saint Peters, MO 63304 Phone: 636-926-3647 Fax: 636-926-3684 | |
Matthew K Mccoy, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3821 Veterans Memorial Pkwy, Saint Peters, MO 63376 Phone: 636-928-1111 Fax: 636-928-1111 | |
Dr. Patricia A Bequette, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1600 Mid Rivers Mall, Saint Peters, MO 63376 Phone: 636-397-1222 Fax: 636-278-1688 | |
Ryan Dement, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3821 Veterans Memorial Pkwy, Saint Peters, MO 63376 Phone: 636-928-1111 | |
Appelman Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 100 Piper Hill Dr, Suite D, Saint Peters, MO 63376 Phone: 636-928-3937 | |
Dr. Kevin Greeley Lydon, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6764 Mexico Rd, Saint Peters, MO 63376 Phone: 636-397-2020 |