| Rejuvenate Light And Vision Center | |
|
220 N Massey Blvd, Nixa, MO 65714-8324 | |
| (417) 374-1088 | |
| Not Available |
| Full Name | Rejuvenate Light And Vision Center |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 220 N Massey Blvd, Nixa, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366396889 | NPI | - | NPPES |
| Provider Name | Cade John Kowallis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952781262 PECOS PAC ID: 5799097747 Enrollment ID: I20260326001104 |
| Mailing Address | Practice Location Address |
|---|---|
| Rejuvenate Light And Vision Center 220 N Massey Blvd, Nixa, MO 65714-8324 Ph: (417) 374-1088 | Rejuvenate Light And Vision Center 220 N Massey Blvd, Nixa, MO 65714-8324 Ph: (417) 374-1088 |
Dr. Thomas E Jones, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 940 W Mount Vernon St, Suite 120, Nixa, MO 65714 Phone: 417-724-5335 Fax: 417-724-5333 |
Ladona Jean Wilson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1102 N Massey Blvd, Nixa, MO 65714 Phone: 417-724-1301 |
Dr. Daniel Austin Boone, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 107 Village Center St, Nixa, MO 65714 Phone: 417-725-0000 Fax: 417-725-0001 |
Nixa Family Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 107 Village Center St, Nixa, MO 65714 Phone: 417-725-0000 Fax: 417-725-0002 |
Cade John Kowallis, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 220 N Massey Blvd, Nixa, MO 65714 Phone: 417-604-0188 |