| Jill Denise Smith Radkowiec, OD | |
|
202 E North Street, California, MO 65018 | |
| (573) 796-2222 | |
| (573) 796-4184 |
| Full Name | Jill Denise Smith Radkowiec |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 16 Years |
| Location | 202 E North Street, California, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114239092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2010020657 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Columbia Eye Consultants Optometry | 2769574714 | 15 |
| Provider Name | International Eyecare Center Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1760405047 PECOS PAC ID: 0244125235 Enrollment ID: O20050208000641 |
| Provider Name | Columbia Eye Consultants Optometry |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1346396033 PECOS PAC ID: 2769574714 Enrollment ID: O20070822000541 |
| Provider Name | Paige Hedgpath Odpc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962644732 PECOS PAC ID: 5991856460 Enrollment ID: O20090623000274 |
| Mailing Address | Practice Location Address |
|---|---|
| Jill Denise Smith Radkowiec, OD Po Box 246, California, MO 65018 Ph: (573) 796-2222 | Jill Denise Smith Radkowiec, OD 202 E North Street, California, MO 65018 Ph: (573) 796-2222 |
Brady L Wilborn, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 202 E North St, California, MO 65018 Phone: 573-796-2222 Fax: 573-796-4184 | |
Donald J Vanderfeltz, O. D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 202 E North St, California, MO 65018 Phone: 573-796-2222 Fax: 573-796-4184 | |
Ryan Curtis Wilkerson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 202 E North St, California, MO 65018 Phone: 573-792-2222 Fax: 573-796-5184 | |
Donald J. Vanderfeltz Optometrist Medicare: Not Enrolled in Medicare Practice Location: 202 E North St, California, MO 65018 Phone: 573-796-2222 Fax: 573-796-4184 |