Eye Clinic LLC
A Medicare group practice based in Versailles, MO: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6305985599), with 2 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 6305985599
- Provider type
- DME Supplier - Physician - Optometrist, Part B Supplier - Clinic/Group Practice
- Enrolled in
- MO
- Enrollments
- 3
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20091201000442 | MO | Part B Supplier - Clinic/Group Practice | 1932330529 |
| O20100930031453 | MO | DME Supplier - Physician - Optometrist | 1548591837 |
| O20100930008969 | MO | DME Supplier - Physician - Optometrist | 1932330529 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Eye Clinic LLC
- Optometrist
- Versailles, MO
- NPI 1548591837
-
Eye Clinic LLC
- Optometrist
- Sedalia, MO
- NPI 1932330529
Practice locations
- Sedalia, MO2
- Versailles, MO2
Clinicians 2
Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (2).
-
Desmon Paige Carl, O.D.
- Optometrist
- Sedalia, MO
- NPI 1073518247
-
Kevin Kyle Edward Carl, O.D.
- Optometrist
- Sedalia, MO
- NPI 1326043787
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.