| Success Vision Eyecare Of Maplewood Llc | |
|
2021 Maplewood Commons Dr, Saint Louis, MO 63143-1003 | |
| (918) 800-2020 | |
| (877) 464-4002 |
| Full Name | Success Vision Eyecare Of Maplewood Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2021 Maplewood Commons Dr, Saint Louis, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497441265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Theodore K. Sullivan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437153772 PECOS PAC ID: 3971628017 Enrollment ID: I20100914000260 |
| Provider Name | Charles E Bruce |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609868140 PECOS PAC ID: 7517153885 Enrollment ID: I20101129000594 |
| Provider Name | Mark A Wilkins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538423769 PECOS PAC ID: 7012156987 Enrollment ID: I20130625000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Success Vision Eyecare Of Maplewood Llc 5312 W 41st St, Tulsa, OK 74107-6110 Ph: (918) 800-2020 | Success Vision Eyecare Of Maplewood Llc 2021 Maplewood Commons Dr, Saint Louis, MO 63143-1003 Ph: (918) 800-2020 |
Dr. Matthew Christopher Simpson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 915 N Grand Blvd, Saint Louis, MO 63106 Phone: 314-652-4100 Fax: 314-289-6581 | |
Mariana Said, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1225 S Grand Blvd, Saint Louis, MO 63104 Phone: 314-617-2600 | |
Brandon Merrill, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7840 Natural Bridge Rd, Saint Louis, MO 63121 Phone: 314-516-5131 Fax: 314-516-6405 | |
Dr. Kristin S. Mcmurry, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 12406 Tesson Ferry Rd, Saint Louis, MO 63128 Phone: 314-842-5858 Fax: 800-432-6004 | |
Genevieve Ehlers, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 915 N Grand Blvd, Saint Louis, MO 63106 Phone: 314-652-4100 | |
Dr. Douglas J Mcguire, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5496 Baumgartner Rd, S.105, Saint Louis, MO 63129 Phone: 314-487-2600 Fax: 314-487-7135 | |
Dr. Michael Rohde, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2572 Lemay Ferry Rd, Saint Louis, MO 63125 Phone: 314-892-3321 Fax: 314-845-9603 |