| Pec Chesterfield, Llc | |
|
317 Clarkson Rd Ste 102, Ellisville, MO 63011-2271 | |
| (636) 725-2020 | |
| Not Available |
| Full Name | Pec Chesterfield, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 317 Clarkson Rd Ste 102, Ellisville, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811500069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | John C Lyman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669580882 PECOS PAC ID: 7618901323 Enrollment ID: I20050922000321 |
| Provider Name | Thomas J Cunningham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053427104 PECOS PAC ID: 0547452948 Enrollment ID: I20101004000881 |
| Provider Name | Dirk F Massie |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972510345 PECOS PAC ID: 0749205813 Enrollment ID: I20130523000677 |
| Mailing Address | Practice Location Address |
|---|---|
| Pec Chesterfield, Llc 4111 N Illinois St, Swansea, IL 62226-7609 Ph: (618) 234-3053 | Pec Chesterfield, Llc 317 Clarkson Rd Ste 102, Ellisville, MO 63011-2271 Ph: (636) 725-2020 |
Melissa Kay Lorber, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 194 Clarkson Rd, Ellisville, MO 63011 Phone: 636-227-2020 | |
Dr. Jennifer Klinger, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 194 Clarkson Rd, Ellisville, MO 63011 Phone: 636-227-2020 Fax: 636-227-9968 | |
Dr. Gary Wayne Delancey, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 113 Old State Rd, Suite 101, Ellisville, MO 63021 Phone: 636-256-7800 Fax: 636-394-1011 | |
Optimized Eyecare, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 317 Clarkson Rd, Ellisville, MO 63011 Phone: 314-374-6831 | |
Clarkson Optometry, Inc Optometrist Medicare: Medicare Enrolled Practice Location: 217 Clarkson Rd, Ellisville, MO 63011 Phone: 636-200-4393 Fax: 636-200-4020 | |
Cusumano Vision Center, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 317 Clarkson Rd, Ellisville, MO 63011 Phone: 636-391-3937 | |
Dr. James Wachter, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 194 Clarkson Rd, Ellisville, MO 63011 Phone: 636-227-2020 Fax: 636-227-9968 |