| Soults Family Eyecare P.l.l.c. | |
| 
					1250 Nw 128th Street, Suite 150, Clive, IA 50325-7432  | |
| (515) 223-9595 | |
| (515) 223-9792 | 
| Full Name | Soults Family Eyecare P.l.l.c. | 
|---|---|
| Type | Facility | 
| Speciality | Optometrist | 
| Location | 1250 Nw 128th Street, Clive, Iowa | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1942872205 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary | 
| Provider Name | Kelly J Soults | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1932189354 PECOS PAC ID: 5193779288 Enrollment ID: I20050311000077  | 
| Provider Name | Teri L Shepherd | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1538457072 PECOS PAC ID: 5597995902 Enrollment ID: I20140305000155  | 
| Provider Name | Morgan Elizabeth Wichman | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1003460734 PECOS PAC ID: 6608260658 Enrollment ID: I20220308002155  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Soults Family Eyecare P.l.l.c. 1250 Nw 128th St Ste 150, Clive, IA 50325-7433 Ph: (515) 223-9595  | Soults Family Eyecare P.l.l.c. 1250 Nw 128th Street, Suite 150, Clive, IA 50325-7432 Ph: (515) 223-9595  | 
Jane A Snodgrass, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1250 Nw 128th St, Suite 150, Clive, IA 50325 Phone: 515-223-9595 Fax: 515-223-9792  | |
Dr. Jennifer Denhartog, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 12695 University Ave Ste 170, Clive, IA 50325 Phone: 515-512-1444 Fax: 515-512-1440  | |
Jennifer Denhartog Od Llc Optometrist Medicare: Medicare Enrolled Practice Location: 12695 University Ave Ste 170, Clive, IA 50325 Phone: 515-512-1444 Fax: 515-512-1440  | |
Kevin R Snodgrass, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1250 Nw 128th St, Suite 150, Clive, IA 50325 Phone: 515-223-9595 Fax: 515-223-9792  | |
Dr. Heidi Lynn Bell, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 12871 University Ave, Clive, IA 50325 Phone: 515-221-9195  | |
Insight Vision Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12871 University Ave, Suite 140, Clive, IA 50325 Phone: 515-221-9195 Fax: 515-221-9196  | |
Kelly Joy Soults, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1250 Nw 128th St Ste 150, Clive, IA 50325 Phone: 515-223-9595 Fax: 515-223-9795  |