| Dr Joseph Leon Shetler, OD | |
|
112 N Main, Gordon Vision Center, Gordon, NE 69343-1524 | |
| (308) 282-0820 | |
| (308) 282-0833 |
| Full Name | Dr Joseph Leon Shetler |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 41 Years |
| Location | 112 N Main, Gordon, Nebraska |
| 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 |
|---|---|---|---|
| 1952362139 | NPI | - | NPPES |
| 410017859 | Other | NE | RR MEDICARE |
| 4993075 | Other | SD | WELLMARK BCBS |
| 9202142 | Medicaid | SD | |
| 06923 | Other | NE | BCBS |
| 9202140 | Medicaid | SD | |
| 9202143 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 939 (Nebraska) | Primary |
| 152W00000X | Optometrist | 621 (South Dakota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cherokee Nation W W Hastings Indian Hospital | Tahlequah, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeastern State University College Of Optometry | 0941112528 | 17 |
| Cherokee Nation | 5799698742 | 369 |
| Provider Name | Northeastern State University College Of Optometry |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1437106333 PECOS PAC ID: 0941112528 Enrollment ID: O20031103000296 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joseph Leon Shetler, OD 112 N Main, Gordon Vision Center, Gordon, NE 69343-1524 Ph: (308) 282-0820 | Dr Joseph Leon Shetler, OD 112 N Main, Gordon Vision Center, Gordon, NE 69343-1524 Ph: (308) 282-0820 |
Bradley C Marcy, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 112 N Main St, Gordon, NE 69343 Phone: 308-282-0820 | |
Chadron Vision Center, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 112 N Main St, Gordon, NE 69343 Phone: 308-282-0820 Fax: 308-282-0833 |