Overland Optical, Inc.
A Medicare group practice based in Saint Charles, MO: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 4284616814), with 9 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 4284616814
- Provider type
- DME Supplier - Optician, Part B Supplier - Clinic/Group Practice
- Enrolled in
- MO
- Enrollments
- 3
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040607000222 | MO | Part B Supplier - Clinic/Group Practice | 1457377848 |
| O20100930064219 | MO | DME Supplier - Optician | 1396833174 |
| O20100930076798 | MO | DME Supplier - Optician | 1457377848 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Overland Optical, Inc
dba Overland Optical Family Eye Care
- Optician
- Saint Charles, MO
- NPI 1396833174
Practice locations
- Overland, MO1
- Saint Louis, MO1
- Saint Charles, MO1
Clinicians 9
Clinicians who reassign their Medicare benefits to this group (9) or whom Care Compare lists as members (3).
-
Daniel P. Ethakoti, OD
- Optometrist
- Saint Louis, MO
- NPI 1740662964
-
Haven Louise Franz, OD
- Optometrist
- Saint Louis, MO
- NPI 1245015973
-
Peter Damien Jacques, OD
- Optometrist
- Wildwood, MO
- NPI 1558904409
-
Molly Lamprecht, OD
- Optometrist
- Saint Charles, MO
- NPI 1235708678
-
Mary K Lueckenhoff, OD
- Optometrist
- Saint Louis, MO
- NPI 1104842335
-
Phillip Mark Lueckenhoff, O.D.
- Optometrist
- Overland, MO
- NPI 1063862969
-
Sara Ellen Schmitz, O.D.
- Optometrist
- Saint Louis, MO
- NPI 1962488924
-
Julie Neilitz Storer, OD
- Optometrist
- O'Fallon, MO
- NPI 1881863546
-
Nicole Wilson, OD
- Optometrist
- Saint Peters, MO
- NPI 1154973220
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.