| Jackson County Eye Clinic Inc. | |
|
221 Nw Mcnary Ct, Lees Summit, MO 64086-4011 | |
| (816) 524-8900 | |
| (816) 525-2042 |
| Full Name | Jackson County Eye Clinic Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 221 Nw Mcnary Ct, Lees Summit, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144267287 | NPI | - | NPPES |
| 0700420002 | Other | MO | NORIDIAN |
| CI2551 | Other | MO | MEDICARE RR |
| 13228014 | Other | MO | BCBS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | T02710 (Missouri) | Secondary |
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Mark A Herriott |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326046426 PECOS PAC ID: 7517997455 Enrollment ID: I20120330000467 |
| Provider Name | Miriam L Anderson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629040134 PECOS PAC ID: 8224298138 Enrollment ID: I20120330000483 |
| Provider Name | Douglas Herriott |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700885860 PECOS PAC ID: 4486793072 Enrollment ID: I20120330000512 |
| Provider Name | Laura J Nennig |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053674804 PECOS PAC ID: 4880845593 Enrollment ID: I20130507000541 |
| Provider Name | Lauren Michelle Pachy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609305572 PECOS PAC ID: 0648544825 Enrollment ID: I20170927001278 |
| Provider Name | Melanie Deitch |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609378330 PECOS PAC ID: 1951656792 Enrollment ID: I20180619000499 |
| Provider Name | Alyssa Baily Sherwood |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245769801 PECOS PAC ID: 3375899644 Enrollment ID: I20180629001215 |
| Provider Name | John Curtis Burton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740762806 PECOS PAC ID: 4284986944 Enrollment ID: I20181008000736 |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson County Eye Clinic Inc. 221 Nw Mcnary Ct, Lees Summit, MO 64086-4011 Ph: (816) 524-8900 | Jackson County Eye Clinic Inc. 221 Nw Mcnary Ct, Lees Summit, MO 64086-4011 Ph: (816) 524-8900 |
Envision Eyecare, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 215 Se State Route 291, Lees Summit, MO 64063 Phone: 816-246-7779 Fax: 816-246-7780 | |
Dr. David E Orson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3536 Sw Market St, Lees Summit, MO 64082 Phone: 816-537-0011 Fax: 816-537-0402 | |
Dr. Laura Jean Nennig I, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 221 Nw Mcnary Ct, Lees Summit, MO 64086 Phone: 816-524-8900 | |
Dr. Wynter M Brown, O.D Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3410 Sw Market St, Lees Summit, MO 64082 Phone: 816-623-3285 Fax: 816-623-3264 | |
Robert K Hartnett, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4405 Ne Courtney Dr, Lees Summit, MO 64064 Phone: 626-644-8443 | |
Sara Elizabeth Stockwell, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 301 Ne Mulberry St Ste 101, Lees Summit, MO 64086 Phone: 816-525-3937 Fax: 816-587-3555 |