Mr. Joshua Clyde Cantrell is a Lees Summit, Missouri based male Optometrist with 22 years of experience in Optometry. He completed his graduation from Southern College Of Optometry in 2002. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Joshua Clyde Cantrell is MO2003000960 for Optometry in Missouri. Mr. Joshua Clyde Cantrell examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Mr. Joshua Clyde Cantrell speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Experience:
22+ years
Medical School Attended:
Southern College Of Optometry
Graduation Year:
2002
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
215 Se State Route 291, Lees Summit, Missouri, 64063-2939
Phone:
816-246-7779
Fax:
816-246-7780
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5890790240
Enrollment ID:
I20060919000274
NPI Number:
1326087594
NPI Enumeration Date:
05 Jun, 2006
NPI Last Update On:
01 Jul, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Joshua Clyde Cantrell are as mentioned below.
License Number
Specialization
State
Status
MO2003000960
Optometry
Missouri
Primary
1616
Optometry
Kansas
Secondary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mr. Joshua Clyde Cantrell has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Envision Eyecare Llc (2365447711)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Joshua Clyde Cantrell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
33864028
Other
Missouri
BCBS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
215 Se State Route 291, Lees Summit, Missouri
Zip:
64063-2939
Phone Number:
816-246-7779
Fax Number:
816-246-7780
Patients can reach Mr. Joshua Clyde Cantrell at 215 Se State Route 291, Lees Summit, Missouri or can call to book an appointment on 816-246-7779. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.