Erin E Genua (NPI# 1184880692, PAC ID# 3870655590) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1184880692 |
| PAC ID by PECOS | 3870655590 |
| Professional Enrollment ID | I20081215000253 |
| Full Name | Erin E Genua |
| Organization Legal Name | BOLIVAR VISION, LLC |
| Address |
325 S Main Ave Vision Source Bolivar Bolivar MO 65613-2052 |
| Phone Number | 4177779000 |
| Gender | F |
| Medical School | UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY |
| Graduation Year | 2008 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 6608190152 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 325 S Main Ave, Vision Source Bolivar, Bolivar, MO 65613-2052 | 4177779000 | BOLIVAR VISION, LLC |
| Organization Legal Name | BOLIVAR VISION, LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura B Montgomery | Optometry | Bolivar Vision, LLC | 325 S Main Ave, Vision Source Bolivar, Bolivar, MO 65613-2052 |
| Street Address |
325 S MAIN AVE VISION SOURCE BOLIVAR |
| City | BOLIVAR |
| State | MO |
| Zip | 65613-2052 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura B Montgomery | Optometry | Bolivar Vision, LLC | 325 S Main Ave, Vision Source Bolivar, Bolivar, MO 65613-2052 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sylvia B Mcqueary | Psychologist, Clinical | 201 S Killingsworth, Bolivar, MO 65613-0963 | |
| Kristine T Grbac-schomaker | Qualified Audiologist | 1165 N Butterfield Rd, Bolivar, MO 65613-1056 | |
| Jordan D Buckley | Nurse Practitioner | Springfield Nephrology Associates Inc | 1165 N Butterfield Rd, Bolivar, MO 65613-1056 |
| Megan A Miller | Nurse Practitioner | Springfield Nephrology Associates Inc | 1165 N Butterfield Rd, Bolivar, MO 65613-1056 |
| John T Tweedie | Chiropractic | 211 N Main Ave, Bolivar, MO 65613-1519 | |
| William Jansen Vanhoornbeek | Physical Therapy | 1028 W Broadway St, Suite A, Bolivar, MO 65613-1809 | |
| Wanita D Lister | Nurse Practitioner | 1317 W Broadway St, Bolivar, MO 65613-1814 | |
| Jerald D Forsyth | Clinical Psychologist | 404 E Broadway, Bolivar, MO 65613-2019 | |
| Brian G Hackleman | Chiropractic | 341 S Springfield Ave, Bolivar, MO 65613-2040 | |
| Richard Lane Nutt | Optometry | 626 S Springfield Ave, Bolivar, MO 65613-2454 | |
| Find all physicians in zip 65613 | |||
| City | BOLIVAR |
| Zip Code | 65613 |
| Specialty | OPTOMETRY |
| City + Specialty | BOLIVAR + OPTOMETRY |
Please comment or provide details below to improve the information on Erin E Genua.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.