Mercy Clinic-nixa-eye Specialists & Optical Shop | |
940 W Mount Vernon St Suite 120 Nixa MO 65714-9609 | |
(417) 724-5335 | |
(417) 724-5333 |
Full Name | Mercy Clinic-nixa-eye Specialists & Optical Shop |
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Speciality | Eyewear Supplier |
Location | 940 W Mount Vernon St, Nixa, Missouri |
Authorized Official Name and Position | Donn E. Sorensen (SENIOR VICE PRESIDENT) |
Authorized Official Contact | 4178294264 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mercy Clinic-nixa-eye Specialists & Optical Shop Po Box 2580 Springfield MO 65801-2580 Ph: (417) 829-4620 | Mercy Clinic-nixa-eye Specialists & Optical Shop 940 W Mount Vernon St Suite 120 Nixa MO 65714-9609 Ph: (417) 724-5335 |
NPI Number | 1619173846 |
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Provider Enumeration Date | 06/25/2007 |
Last Update Date | 02/07/2012 |
Medicare PECOS PAC ID | 7416865845 |
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Medicare Enrollment ID | O20100930061002 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619173846 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | R8G75 (Missouri) | Secondary |
332H00000X | Eyewear Supplier | (Missouri) | Primary |
St. John's Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 940 W Mount Vernon St, Nixa, MO 65714 Phone: 417-724-5437 Fax: 417-724-5433 | |
Alps Health, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1824 N State Highway Cc Ste B, Nixa, MO 65714 Phone: 417-719-4510 | |
Regional Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 501 N Old Wilderness Rd, Nixa, MO 65714 Phone: 417-269-2227 Fax: 417-269-2235 | |
417 Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 830 W Mount Vernon St Ste 10, Nixa, MO 65714 Phone: 417-374-4141 Fax: 417-374-4140 |