Ashley Taylor Fennell, OD | |
808 W Main St, Grove City, PA 16127-1114 | |
(724) 458-8533 | |
Not Available |
Full Name | Ashley Taylor Fennell |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 808 W Main St, Grove City, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235988098 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OEG004146 (Pennsylvania) | Primary |
Provider Name | Dittman Eyecare, Inc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073653564 PECOS PAC ID: 7810980109 Enrollment ID: O20040405000139 |
Provider Name | Aeg Pennsylvania Professional Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1851958854 PECOS PAC ID: 7719218593 Enrollment ID: O20191009000224 |
Mailing Address | Practice Location Address |
---|---|
Ashley Taylor Fennell, OD 1014 Branchton Rd, Boyers, PA 16020-1406 Ph: (724) 996-7713 | Ashley Taylor Fennell, OD 808 W Main St, Grove City, PA 16127-1114 Ph: (724) 458-8533 |
Aeg Pennsylvania Professional, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 808 W Main St, Grove City, PA 16127 Phone: 724-458-8533 | |
Wigton Eye Care Associates,inc Optometrist Medicare: Medicare Enrolled Practice Location: 16 Pine Grove Village Dr, Grove City, PA 16127 Phone: 724-458-7440 Fax: 724-458-0732 |