Kimberling Vision Center, Inc is a medicare enrolled "Optometrist" provider in Kimberling City, Missouri. Their current practice location is
1 Woodland Ave Ste 2, Kimberling City, Missouri. You can reach out to their office (for appointments etc.) via phone at
(417) 739-2411.
Kimberling Vision Center, Inc is licensed to practice in Missouri (license number MOTO3116) and it also participates in the medicare program. Kimberling Vision Center, Inc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1417001009.
Healthcare Provider's Profile
| Full Name | Kimberling Vision Center, Inc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 1 Woodland Ave Ste 2, Kimberling City, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1417001009
- Provider Enumeration Date: 01/22/2007
- Last Update Date: 08/30/2011
Medicare PECOS Information:
- PECOS PAC ID: 5395703680
- Enrollment ID: O20050104000003
Medical Identifiers
Medical identifiers for Kimberling Vision Center, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417001009 | NPI | - | NPPES |
| 317857019 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | MOTO3116 (Missouri) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Kimberling Vision Center, Inc acts as a billing entity for following providers:
| Provider Name | Debra Lynne Williams |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1215931886
PECOS PAC ID: 1850352154
Enrollment ID: I20041020000830 |
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| Provider Name | Kylee E Goddard |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1255916052
PECOS PAC ID: 7618371303
Enrollment ID: I20210803000428 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberling Vision Center, Inc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kimberling Vision Center, Inc
1 Woodland Ave Ste 2,
Kimberling City, MO 65686-9738
Ph: (417) 739-2411 | Kimberling Vision Center, Inc
1 Woodland Ave Ste 2,
Kimberling City, MO 65686-9738
Ph: (417) 739-2411 |
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