| Warrensburg Optical Inc | |
|
108 Ne 2nd St, Concordia, MO 64020-8324 | |
| (660) 463-7915 | |
| (660) 463-2808 |
| Full Name | Warrensburg Optical Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 108 Ne 2nd St, Concordia, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801850490 | NPI | - | NPPES |
| 04580012 | Other | BC BS KC 8 DIGIT BILLING NUMBER | |
| 04580012 | Other | BLUE CROSS BLUE SHEILD KC | |
| 321111429 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| 332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
| Provider Name | Mark D Curtis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700840378 PECOS PAC ID: 4789765405 Enrollment ID: I20100601000804 |
| Provider Name | Kenneth J Keirsey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689638785 PECOS PAC ID: 5294864203 Enrollment ID: I20100601000816 |
| Provider Name | Krystal Rae Adams Matson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275158859 PECOS PAC ID: 4486076049 Enrollment ID: I20200627000179 |
| Provider Name | Debbie Lynn D'amico |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730176819 PECOS PAC ID: 8325456502 Enrollment ID: I20210428001667 |
| Provider Name | Virginia Nicole Manuel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083353858 PECOS PAC ID: 9638550106 Enrollment ID: I20220714001693 |
| Mailing Address | Practice Location Address |
|---|---|
| Warrensburg Optical Inc 602 N Maguire St, Warrensburg, MO 64093-1420 Ph: (660) 747-7300 | Warrensburg Optical Inc 108 Ne 2nd St, Concordia, MO 64020-8324 Ph: (660) 463-7915 |