| Dr Kyle M Cheatham, O D | |
|
2514 W Broadway, Council Bluffs, IA 51501-3509 | |
| (712) 322-3097 | |
| (712) 322-4130 |
| Full Name | Dr Kyle M Cheatham |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 2514 W Broadway, Council Bluffs, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568568384 | NPI | - | NPPES |
| 99831 | Other | IA | BCBS |
| P00397521 | Other | NE | PALMETTO RAILROAD |
| 0790470 | Medicaid | IA | |
| 10025382400 | Medicaid | NE | |
| 99644 | Other | IA | BCBS |
| 614965001 | Other | IA | DMERC |
| 32830 | Other | IA | BCBS OF IA |
| 37153 | Other | NE | BCBS OF NE |
| 37192 | Other | NE | BCBS OF NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1267 (Nebraska) | Secondary |
| 152W00000X | Optometrist | 02373 (Iowa) | Primary |
| Provider Name | Vision Specialists Of Papillion Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1659859734 PECOS PAC ID: 8729320411 Enrollment ID: O20190429002455 |
| Provider Name | Vision Specialists Of Omaha Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1912564212 PECOS PAC ID: 7719212307 Enrollment ID: O20190718003234 |
| Provider Name | Vision Specialists On Harrison Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1407457690 PECOS PAC ID: 7911319116 Enrollment ID: O20201211001611 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kyle M Cheatham, O D 2514 W Broadway, Council Bluffs, IA 51501-3509 Ph: (711) 322-3097 | Dr Kyle M Cheatham, O D 2514 W Broadway, Council Bluffs, IA 51501-3509 Ph: (712) 322-3097 |
Jonathan Kingsley, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2514 W Broadway, Council Bluffs, IA 51501 Phone: 712-322-3097 Fax: 712-322-4130 | |
Dr. Pat M Bartels, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1920 Rue St, Council Bluffs, IA 51503 Phone: 712-323-3401 Fax: 712-256-6713 | |
Bogaard And Associates, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1751 Madison Ave, Suite 508, Council Bluffs, IA 51503 Phone: 712-325-4544 | |
Christopher Robert Olson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 320 Mckenzie Ave, Ste 206, Council Bluffs, IA 51503 Phone: 712-256-1111 Fax: 712-256-1549 | |
Vision Care Clinic, P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 200 S 29th St, Council Bluffs, IA 51501 Phone: 712-325-4999 | |
Olson Eye Care Plc Optometrist Medicare: Medicare Enrolled Practice Location: 320 Mckenzie Ave, Ste 206, Council Bluffs, IA 51503 Phone: 712-256-1111 Fax: 712-256-1549 | |
Dr. Nancy Katherine Rhodes, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: America's Best, 3701 Metro Dr #400, Council Bluffs, IA 51501 Phone: 712-309-0027 Fax: 712-309-0028 |