| Mr Richard Lane Nutt, OD | |
|
1111 E Cambridge St, Bolivar, MO 65613-3500 | |
| (417) 326-6001 | |
| Not Available |
| Full Name | Mr Richard Lane Nutt |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 45 Years |
| Location | 1111 E Cambridge St, Bolivar, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710964309 | NPI | - | NPPES |
| 1710964309 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | T02491 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| El Dorado Vision Llc | 0547501041 | 2 |
| Bolivar Vision, Llc | 6608190152 | 5 |
| Provider Name | Bolivar Vision, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1578969960 PECOS PAC ID: 6608190152 Enrollment ID: O20150112000562 |
| Provider Name | El Dorado Vision Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1902379266 PECOS PAC ID: 0547501041 Enrollment ID: O20190410002057 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Richard Lane Nutt, OD 1111 E Cambridge St, Bolivar, MO 65613-3500 Ph: (417) 326-6001 | Mr Richard Lane Nutt, OD 1111 E Cambridge St, Bolivar, MO 65613-3500 Ph: (417) 326-6001 |
Orchard Eye Clinic Llc Optometrist Medicare: Medicare Enrolled Practice Location: 1111 E Cambridge St, Bolivar, MO 65613 Phone: 417-839-7724 | |
Kemp Family Eye Care, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 325 S Main Ave, Bolivar, MO 65613 Phone: 417-777-9000 Fax: 417-777-9003 | |
Wesley Don Kemp, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 325 S Main Ave, Bolivar, MO 65613 Phone: 417-777-9000 Fax: 417-777-9003 | |
Steven Bartholomew Od Llc Optometrist Medicare: Medicare Enrolled Practice Location: 2451 S Springfield Ave, Bolivar, MO 65613 Phone: 417-777-7662 Fax: 417-777-6917 | |
Dr. Shay Andrea Sechler, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1111 E Cambridge St, Bolivar, MO 65613 Phone: 417-326-6001 | |
Bolivar Vision, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 680 E Aldrich Road, Bolivar, MO 65613 Phone: 417-777-9000 Fax: 417-777-9003 |