| Lally Eyecare Inc | |
|
12 N Jefferson Ave, Marshall, MO 65340-2148 | |
| (660) 886-5584 | |
| (660) 886-2633 |
| Full Name | Lally Eyecare Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 12 N Jefferson Ave, Marshall, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790890184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | T03163 (Missouri) | Primary |
| Provider Name | Tron Y Lally |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265547640 PECOS PAC ID: 2961443171 Enrollment ID: I20050518000630 |
| Mailing Address | Practice Location Address |
|---|---|
| Lally Eyecare Inc 12 North Jefferson, Marshall, MO 65340-2106 Ph: (660) 886-5584 | Lally Eyecare Inc 12 N Jefferson Ave, Marshall, MO 65340-2148 Ph: (660) 886-5584 |
Dr. Dennis Leon Hunter, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 365 W Morgan St, Marshall, MO 65340 Phone: 660-886-5517 Fax: 660-886-5074 | |
Dennis Leon Hunter Optometrist Medicare: Not Enrolled in Medicare Practice Location: 365 W Morgan St, Marshall, MO 65340 Phone: 660-886-5517 Fax: 660-886-5074 | |
Cassidy Elizabeth Stewart, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 268 S Jefferson Ave, Marshall, MO 65340 Phone: 660-815-0204 |