| Icare Optometry, P.a. | |
|
115 W Laurel St, Independence, KS 67301-3311 | |
| (620) 331-9090 | |
| (620) 331-0011 |
| Full Name | Icare Optometry, P.a. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 115 W Laurel St, Independence, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437692506 | NPI | - | NPPES |
| 201100480A | Medicaid | KS | |
| 10042069 | Medicaid | KS | |
| 100343690B | Medicaid | KS | |
| 1710391792 | Other | KS | NPI |
| 1710395769 | Other | KS | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (Kansas) | Primary |
| Provider Name | Sarah L Kelley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710395769 PECOS PAC ID: 3577880129 Enrollment ID: I20150319002561 |
| Provider Name | Allison D Emmot |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710391792 PECOS PAC ID: 2062772866 Enrollment ID: I20180215000655 |
| Mailing Address | Practice Location Address |
|---|---|
| Icare Optometry, P.a. 115 W Laurel St, Independence, KS 67301-3311 Ph: (620) 331-9090 | Icare Optometry, P.a. 115 W Laurel St, Independence, KS 67301-3311 Ph: (620) 331-9090 |
Dr. Gary L. Beaver, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 300 W Laurel St, Independence, KS 67301 Phone: 620-331-2112 Fax: 620-331-2147 | |
Sandra L Easter Optometrist Medicare: Not Enrolled in Medicare Practice Location: 115 W Laurel St, Independence, KS 67301 Phone: 620-331-9090 Fax: 620-331-0011 | |
Dr. Sarah Leigh Kelley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 115 W Laurel St, Independence, KS 67301 Phone: 620-331-9090 Fax: 620-331-0011 | |
Sandra L. Easter, O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 115 W Laurel St, Independence, KS 67301 Phone: 620-331-9090 Fax: 620-331-0011 |