20/20 Eyecare | |
325 W Walnut St, Ste 400, Lebanon, KY 40033-1377 | |
(636) 200-4393 | |
Not Available |
Full Name | 20/20 Eyecare |
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Type | Facility |
Speciality | Optometrist |
Location | 325 W Walnut St, Lebanon, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366520702 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1097DT (Kentucky) | Primary |
Provider Name | Kevin L Crawford |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1194722819 PECOS PAC ID: 3577455120 Enrollment ID: I20050330000303 |
Provider Name | Jason Neil Glenn |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1407995848 PECOS PAC ID: 5799704359 Enrollment ID: I20070530000365 |
Provider Name | Richard S. Roush |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1023225075 PECOS PAC ID: 1557337748 Enrollment ID: I20111117000710 |
Provider Name | Kaylea J. Percal |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1174975643 PECOS PAC ID: 9032404900 Enrollment ID: I20160927002433 |
Mailing Address | Practice Location Address |
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20/20 Eyecare Po Box 207170, Dallas, TX 75320-7156 Ph: (636) 200-4393 | 20/20 Eyecare 325 W Walnut St, Ste 400, Lebanon, KY 40033-1377 Ph: (636) 200-4393 |
Dr. Paul G Taylor, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 310 W High St, Lebanon, KY 40033 Phone: 270-692-1871 Fax: 270-692-6785 | |
Amanda M Ballard, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 325 W Walnut St, Ste400, Lebanon, KY 40033 Phone: 502-955-2020 Fax: 502-736-4490 | |
Jacqueline Powell, Optometrist Medicare: Medicare Enrolled Practice Location: 325 W Walnut St, Lebanon, KY 40033 Phone: 270-867-8200 Fax: 502-916-3010 | |
Dr. Patricia Mary Hollingsworth-cecconi, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 310 W High St, Lebanon, KY 40033 Phone: 270-692-1871 Fax: 270-692-6785 | |
Central Kentucky Optometric Associates Psc Optometrist Medicare: Medicare Enrolled Practice Location: 310 W High St, Lebanon, KY 40033 Phone: 270-692-1871 Fax: 270-692-6785 |