ALAN PAUL KRETCHMAR (NPI# 1538245345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538245345 |
| Entity Type | Individual |
| Full Name | ALAN PAUL KRETCHMAR |
| Credential | MD |
| Practice Address |
140 Westmount Dr Farmington MO 63640-2970 |
| Practice Telephone | 5737562020 |
| Practice Fax Number | 5737566997 |
| Mailing Telephone | 5737562020 |
| Mailing Fax Number | 5737566997 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2009-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | R6267 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CIGNA | 2121070010 | 01 | |
| UNITED HEALTHCARE | 28482 | 01 | |
| MERCY HEALTH PLANS | 103282 | 01 | |
| OPTICARE EYE HEALTH NETWO | 11943 | 01 | |
| COORDINATED VISION CARE | 30134 | 01 | |
| EXCLUSIVE CHOICE FMH BENE | 008254 | 01 | |
| HEALTHLINK | 100797 | 01 | |
| ESSENCE HEALTHCARE | 10296 | 01 | |
| GROUP HEALTH PLAN | 104342 | 01 | |
| EYEMED VISION CARE | 6267 | 01 | |
| MISSOURI MEDICARE | 011011383 | 01 | |
| AETNA | 4072783 | 01 | |
| RAILROAD MEDICARE | 180044514 | 01 | |
| BCBS | 131611 | 01 |
| Street Address |
140 WESTMOUNT DR |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-2970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306815345 | Anton G Beffa | Ophthalmology | 140 Westmount Dr, Farmington, MO 63640-2970 | 2006-03-14 |
| 1366470957 | Precision Eye Care, Inc. | Ophthalmology | 140 Westmount Dr, Farmington, MO 63640-2970 | 2006-06-30 |
| 1306815972 | John R Fitz | Ophthalmology | 140 Westmount Dr, Farmington, MO 63640-2970 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235383928 | Majida Abdul Abdul Gaffar | Ophthalmology | 366 Colt Highway, Farmington, CT 06032 | 2008-11-09 |
| 1235108630 | Richard Dexter Brown | Ophthalmology | 628 Wilton Rd, Farmington, ME 04938-6138 | 2006-03-16 |
| 1306815345 | Anton G Beffa | Ophthalmology | 140 Westmount Dr, Farmington, MO 63640-2970 | 2006-03-14 |
| 1396741344 | Christopher Kelly | Ophthalmology | 366 Colt Hwy, Farmington, CT 06032-2547 | 2005-06-23 |
| 1699194605 | Sona Chaudhry | Ophthalmology | 263 Farmington Avenue, Farmington, CT 06030-1390 | 2014-04-08 |
| 1518211879 | Gerard Michael Nolan Md PC | Ophthalmology | 1 Forest Park Dr, Farmington, CT 06032-1487 | 2012-11-07 |
| 1710246772 | Michael Koval | Ophthalmology | 499 Farmington Ave, Suite 100, Farmington, CT 06032-1943 | 2012-05-11 |
| 1023305760 | Ana Aleyda Morales | Ophthalmology | 263 Farmington Avenue, Farmington, CT 06030 | 2011-07-01 |
| 1710113287 | Madina Falcone | Ophthalmology | 263 Farmington Ave, Farmington, CT 06030-2212 | 2009-06-10 |
| 1538389978 | Heather Nicole Shelsta | Ophthalmology | 499 Farmington Ave, Farmington, CT 06032-1943 | 2007-04-26 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.