| Oneill Family Eyecare Pc | |
| 
					612 N 4th St, Oneill, NE 68763-1326  | |
| (402) 336-2220 | |
| (402) 336-4845 | 
| Full Name | Oneill Family Eyecare Pc | 
|---|---|
| Type | Facility | 
| Speciality | Optometrist | 
| Location | 612 N 4th St, Oneill, Nebraska | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1437200961 | NPI | - | NPPES | 
| DG0428 | Other | NE | RR MEDICARE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary | 
| Provider Name | Philip L Gildersleeve | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1740388990 PECOS PAC ID: 7810093382 Enrollment ID: I20070516000480  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Oneill Family Eyecare Pc 612 N 4th St, P.o. Box 818, Oneill, NE 68763-1326 Ph: (402) 336-2220  | Oneill Family Eyecare Pc 612 N 4th St, Oneill, NE 68763-1326 Ph: (402) 336-2220  | 
Dr. Jonna Marie Kohle, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 214 N 10th St, Oneill, NE 68763 Phone: 402-336-2505 Fax: 402-336-3506  | |
Tessa W Pelster, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 214 N 10th St, Oneill, NE 68763 Phone: 402-336-2505 Fax: 402-336-3506  | |
Carl Scott Gutshall, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 214 N 10th St, Oneill, NE 68763 Phone: 402-336-2505 Fax: 402-336-3506  | |
Gutshall Kohle Pelster Eyecare, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 214 N 10th St, Oneill, NE 68763 Phone: 402-336-2505 Fax: 402-336-2505  | |
Dr. Philip Lyle Gildersleeve, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 612 N 4th St, Pob 818, Oneill, NE 68763 Phone: 402-336-2220 Fax: 402-336-4845  |