| Kylee Goddard, OD | |
|
1 Woodland Ave, Kimberling City, MO 65686-9738 | |
| (417) 739-2411 | |
| (417) 739-2407 |
| Full Name | Kylee Goddard |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 1 Woodland Ave, Kimberling City, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255916052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | T03116 (Missouri) | Primary |
| Provider Name | Springfield Eyecare, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1730370305 PECOS PAC ID: 9234105008 Enrollment ID: O20040903000133 |
| Provider Name | Kimberling Vision Center, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1417001009 PECOS PAC ID: 5395703680 Enrollment ID: O20050104000003 |
| Provider Name | Doctors Onsite Eyecare, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770763831 PECOS PAC ID: 1759470701 Enrollment ID: O20090112000560 |
| Mailing Address | Practice Location Address |
|---|---|
| Kylee Goddard, OD 1 Woodland Ave, Kimberling City, MO 65686-9738 Ph: (417) 739-2411 | Kylee Goddard, OD 1 Woodland Ave, 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 | |
Kimberling Vision Center, Inc Optometrist Medicare: Medicare Enrolled Practice Location: 1 Woodland Ave Ste 2, Kimberling City, MO 65686 Phone: 417-739-2411 Fax: 417-739-2407 |