| Peggy Jo Whiteplume, OD | |
|
1650 Cochrane Cir Unit Meddac, Ft Carson, CO 80913-4604 | |
| (719) 526-4750 | |
| (719) 526-7853 |
| Full Name | Peggy Jo Whiteplume |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 1650 Cochrane Cir Unit Meddac, Ft Carson, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649334905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 18002415A (Indiana) | Secondary |
| 152W00000X | Optometrist | 01905 (Iowa) | Primary |
| Provider Name | Us Health Dept Of Health & Human Services |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1972694602 PECOS PAC ID: 9638081623 Enrollment ID: O20031106000399 |
| Provider Name | Wind River Family & Community Health Care |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1285006379 PECOS PAC ID: 1850683780 Enrollment ID: O20160713000531 |
| Mailing Address | Practice Location Address |
|---|---|
| Peggy Jo Whiteplume, OD 9422 Torecco Ct, Fountain, CO 80817-4711 Ph: (307) 349-5196 | Peggy Jo Whiteplume, OD 1650 Cochrane Cir Unit Meddac, Ft Carson, CO 80913-4604 Ph: (719) 526-4750 |
Dr. Felicia Taylor Popowski, O. D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1650 Cochrane Cir, Ft Carson, CO 80913 Phone: 719-526-7450 | |
Dr. Ronald Norman Leavitt, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1650 Cocrane Circle, Meddac Optometry Clinic, Ft Carson, CO 80913 Phone: 719-526-7462 | |
Abba Eye Care Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6110 Martinez St, Ft Carson, CO 80913 Phone: 719-368-2446 Fax: 719-576-9332 | |
Dr. Ken Foppiano, Optometrist Medicare: Not Enrolled in Medicare Practice Location: Evans Army Hospital, Ft Carson, CO 80913 Phone: 719-526-7464 Fax: 719-526-7853 |