| Ettinger Optometry, Llc | |
|
143 Replacement Ave, Building 487, Fort Leonard Wood, MO 65473-9092 | |
| (573) 329-4860 | |
| (573) 329-4860 |
| Full Name | Ettinger Optometry, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist - Corneal And Contact Management |
| Location | 143 Replacement Ave, Fort Leonard Wood, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003263096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152WC0802X | Optometrist - Corneal And Contact Management | T02543 (Missouri) | Primary |
| Provider Name | Ira N Ettinger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659421303 PECOS PAC ID: 3779681317 Enrollment ID: I20070606000162 |
| Mailing Address | Practice Location Address |
|---|---|
| Ettinger Optometry, Llc 143 Replacement Ave, Building 487, Fort Leonard Wood, MO 65473-9092 Ph: (573) 329-4860 | Ettinger Optometry, Llc 143 Replacement Ave, Building 487, Fort Leonard Wood, MO 65473-9092 Ph: (573) 329-4860 |
Peyton Mckay Simpson, OD Optometrist Medicare: Medicare Enrolled Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0048 | |
Shriya Ruparel, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0048 | |
Amy Molina, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0048 Fax: 573-596-0716 | |
Dr. Nathan D Dederman, OD, FAAO Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave # 1267, Fort Leonard Wood, MO 65473 Phone: 505-249-9251 | |
Jessica Ward, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0035 | |
Hunter Neville Smith, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 908-455-4677 |