| Sloan Eyecare Center L.l.c | |
|
431 S Main St, Brookfield, MO 64628-2146 | |
| (660) 258-7409 | |
| (660) 258-7842 |
| Full Name | Sloan Eyecare Center L.l.c |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 431 S Main St, Brookfield, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013051390 | NPI | - | NPPES |
| 507600203 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Bruce L Brodmerkle |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407890262 PECOS PAC ID: 6800861527 Enrollment ID: I20040831001455 |
| Provider Name | Mindy M Blackford |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861406092 PECOS PAC ID: 2961407481 Enrollment ID: I20060915000328 |
| Provider Name | Robert D Sloan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285679464 PECOS PAC ID: 5890760516 Enrollment ID: I20100810000692 |
| Provider Name | Duane A Thompson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740224724 PECOS PAC ID: 5991770612 Enrollment ID: I20100928001733 |
| Provider Name | Kevin M Harris |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548564834 PECOS PAC ID: 7911175294 Enrollment ID: I20110713000414 |
| Provider Name | Jennifer R Poston |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336401611 PECOS PAC ID: 5799933909 Enrollment ID: I20120913000193 |
| Provider Name | Kelly Erin Deering |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154946564 PECOS PAC ID: 6305268772 Enrollment ID: I20200612002119 |
| Provider Name | Mason M Garbs |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548908072 PECOS PAC ID: 4789062829 Enrollment ID: I20220602000776 |
| Provider Name | Ashley J Lemonds |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699594846 PECOS PAC ID: 4183157647 Enrollment ID: I20241023001789 |
| Mailing Address | Practice Location Address |
|---|---|
| Sloan Eyecare Center L.l.c 431 S Main St, Brookfield, MO 64628-2146 Ph: (660) 258-7409 | Sloan Eyecare Center L.l.c 431 S Main St, Brookfield, MO 64628-2146 Ph: (660) 258-7409 |
Duane A Thompson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 431 S Main St, Brookfield, MO 64628 Phone: 660-258-7409 Fax: 660-258-4092 |