| Nicholas Portell, OD | |
|
2121 Zumbehl Rd, Saint Charles, MO 63303-2724 | |
| (636) 949-2906 | |
| (636) 949-2914 |
| Full Name | Nicholas Portell |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 5 Years |
| Location | 2121 Zumbehl Rd, Saint Charles, 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 |
|---|---|---|---|
| 1851916035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2020015799 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clarkson Optometry Inc | 0840411799 | 82 |
| Provider Name | Clarkson Optometry Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1497155345 PECOS PAC ID: 0840411799 Enrollment ID: O20141020000232 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Portell, OD Po Box 207158, Dallas, TX 75320-7158 Ph: (636) 200-4393 | Nicholas Portell, OD 2121 Zumbehl Rd, Saint Charles, MO 63303-2724 Ph: (636) 949-2906 |
Clarkson Optometry Inc Optometrist Medicare: Medicare Enrolled Practice Location: 2121 Zumbehl Rd, Saint Charles, MO 63303 Phone: 636-200-4393 Fax: 636-949-2914 | |
Thebe Bagwasi, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2100 Collier Corporate Pkwy, Saint Charles, MO 63303 Phone: 636-410-8285 Fax: 636-410-8397 | |
Amy Molina, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3513 Harry S Truman Blvd, Saint Charles, MO 63301 Phone: 636-688-7500 | |
Kristin N Doerfler, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1384 S 5th St, Saint Charles, MO 63301 Phone: 636-946-9242 Fax: 636-946-4903 | |
Nu-crown, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1944 Zumbehl Rd, Saint Charles, MO 63303 Phone: 636-916-5367 Fax: 800-432-6004 | |
Midwest Eye Associates, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 1384 S 5th St, Saint Charles, MO 63301 Phone: 636-946-9242 Fax: 636-946-4903 | |
Molly Lamprecht, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1529 S Old Highway 94 Ste 120, Saint Charles, MO 63303 Phone: 636-949-2900 Fax: 866-636-1311 |