| Klein Eye Care I, Inc | |
|
21530 Highway 32, Ste Genevieve, MO 63670-8813 | |
| (573) 883-5665 | |
| (573) 883-5661 |
| Full Name | Klein Eye Care I, Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 21530 Highway 32, Ste Genevieve, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972627511 | NPI | - | NPPES |
| 312898638 | Medicaid | MO | |
| DG8301 | Other | MO | PALMETTO GBA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | T02815 (Missouri) | Primary |
| Provider Name | Clint M Wolk |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659534279 PECOS PAC ID: 8729143466 Enrollment ID: I20090213000049 |
| Provider Name | Courtney R Kwan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750798021 PECOS PAC ID: 4486876869 Enrollment ID: I20141119002631 |
| Provider Name | Kaitlyn Elizabeth Lukefahr |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154815462 PECOS PAC ID: 8628328184 Enrollment ID: I20180904000679 |
| Mailing Address | Practice Location Address |
|---|---|
| Klein Eye Care I, Inc 21530 Highway 32, Ste Genevieve, MO 63670-8813 Ph: (573) 883-5665 | Klein Eye Care I, Inc 21530 Highway 32, Ste Genevieve, MO 63670-8813 Ph: (573) 883-5665 |
Eyes On Ste Genevieve Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 466 Market St, Ste Genevieve, MO 63670 Phone: 573-883-2774 | |
Kaitlyn Elizabeth Lukefahr, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 21530 Hwy 32, Ste Genevieve, MO 63670 Phone: 573-883-5665 | |
William J Odneal, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 466 Market St, Ste Genevieve, MO 63670 Phone: 573-883-2774 Fax: 573-883-9087 | |
Pec Stg Llc Optometrist Medicare: Medicare Enrolled Practice Location: 466 Market St, Ste Genevieve, MO 63670 Phone: 573-883-2774 | |
William Odneal, O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 466 Market St, Ste Genevieve, MO 63670 Phone: 573-883-2774 Fax: 573-883-9087 | |
Dr. Clint Michael Wolk, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 21530 Highway 32, Ste Genevieve, MO 63670 Phone: 573-883-5665 | |
Courtney Kwan, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 21530 Highway 32, Ste Genevieve, MO 63670 Phone: 573-883-5665 |