Advanced Family Eye Care | |
400 7th St, Ellwood City, PA 16117-2021 | |
(724) 758-6338 | |
Not Available |
Full Name | Advanced Family Eye Care |
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Type | Facility |
Speciality | Optometrist |
Location | 400 7th St, Ellwood City, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538527023 | NPI | - | NPPES |
0019700090002 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | OEG001165 (Pennsylvania) | Primary |
Provider Name | Stephen R Holloway |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1083792618 PECOS PAC ID: 6608886163 Enrollment ID: I20060427000451 |
Provider Name | Brett P Moore |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1518215334 PECOS PAC ID: 8921251927 Enrollment ID: I20171117001158 |
Provider Name | Tyler Dean |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1164900775 PECOS PAC ID: 8325397284 Enrollment ID: I20180827000713 |
Mailing Address | Practice Location Address |
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Advanced Family Eye Care 400 7th St, Ellwood City, PA 16117-2021 Ph: (724) 758-6338 | Advanced Family Eye Care 400 7th St, Ellwood City, PA 16117-2021 Ph: (724) 758-6338 |
Dr. Stephen Robert Holloway, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 400 7th St, Ellwood City, PA 16117 Phone: 724-758-6338 Fax: 724-752-2020 | |
Tyler Dean, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 400 7th St, Ellwood City, PA 16117 Phone: 724-758-6338 |