Alex Amann, | |
1259 Main St, Imperial, MO 63052-3852 | |
(636) 461-0470 | |
(636) 461-3016 |
Full Name | Alex Amann |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 8 Years |
Location | 1259 Main St, Imperial, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942740212 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2017006443 (Missouri) | Primary |
152W00000X | Optometrist | 046011080 (Illinois) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Premium Vision Solutions Llc | 4587896303 | 2 |
Provider Name | Premium Vision Solutions Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174944011 PECOS PAC ID: 4587896303 Enrollment ID: O20140410000046 |
Provider Name | Clarkson Optometry Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1497155345 PECOS PAC ID: 0840411799 Enrollment ID: O20141020000232 |
Mailing Address | Practice Location Address |
---|---|
Alex Amann, 15933 Clayton Rd Ste 201, Ballwin, MO 63011-2172 Ph: (636) 200-4393 | Alex Amann, 1259 Main St, Imperial, MO 63052-3852 Ph: (636) 461-0470 |
Clarkson Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 1259 Main St, Imperial, MO 63052 Phone: 636-200-4393 Fax: 636-461-3016 | |
Ashley Lynn Dimercurio, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1259 Main St, Imperial, MO 63052 Phone: 636-461-0470 Fax: 636-461-3016 | |
Dr. Brooke Lauren Reynolds, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1259 Main St, Imperial, MO 63052 Phone: 636-461-0470 Fax: 314-845-5956 |