| Heady & Pham Advanced Eyecare Llc | |
|
3231 S National Ave Ste 165, Springfield, MO 65807-7304 | |
| (314) 808-8450 | |
| Not Available |
| Full Name | Heady & Pham Advanced Eyecare Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3231 S National Ave Ste 165, Springfield, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558216424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Ryan Jeffrey Heady |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295028058 PECOS PAC ID: 0446481980 Enrollment ID: I20181009002324 |
| Provider Name | Anh T Pham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609325711 PECOS PAC ID: 5193086106 Enrollment ID: I20240213003125 |
| Mailing Address | Practice Location Address |
|---|---|
| Heady & Pham Advanced Eyecare Llc 3231 S National Ave Ste 165, Springfield, MO 65807-7304 Ph: (417) 603-1179 | Heady & Pham Advanced Eyecare Llc 3231 S National Ave Ste 165, Springfield, MO 65807-7304 Ph: (314) 808-8450 |
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