| Kimberling Vision Center, Inc | |
|
1 Woodland Ave Ste 2, Kimberling City, MO 65686-9738 | |
| (417) 739-2411 | |
| (417) 739-2407 |
| Full Name | Kimberling Vision Center, Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1 Woodland Ave Ste 2, Kimberling City, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417001009 | NPI | - | NPPES |
| 317857019 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | MOTO3116 (Missouri) | Primary |
| Provider Name | Debra Lynne Williams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215931886 PECOS PAC ID: 1850352154 Enrollment ID: I20041020000830 |
| Provider Name | Kylee E Goddard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255916052 PECOS PAC ID: 7618371303 Enrollment ID: I20210803000428 |
| 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 |
Dr. Debra Lynne Williams, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1 Woodland Ave, Ste 2, Kimberling City, MO 65686 Phone: 417-739-2411 Fax: 417-739-2407 | |
Kylee Goddard, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1 Woodland Ave, Kimberling City, MO 65686 Phone: 417-739-2411 Fax: 417-739-2407 |