| Buckeye Vision Care | |
|
30652 Red Rock Ct, Logan, OH 43138-9670 | |
| (740) 385-4006 | |
| (740) 385-4043 |
| Full Name | Buckeye Vision Care |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 30652 Red Rock Ct, Logan, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790889491 | NPI | - | NPPES |
| 2622997 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 5564 (Ohio) | Primary |
| Provider Name | Lawrence J Mesarch |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386736726 PECOS PAC ID: 4284652207 Enrollment ID: I20051108001136 |
| Provider Name | David T Brown |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396719720 PECOS PAC ID: 7214934827 Enrollment ID: I20090723000287 |
| Provider Name | Nicholas King-smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710391487 PECOS PAC ID: 3971720467 Enrollment ID: I20140806001888 |
| Provider Name | Jenna Tyler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093243487 PECOS PAC ID: 8820361926 Enrollment ID: I20170912003297 |
| Provider Name | Joseph J Blake |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104231778 PECOS PAC ID: 3173884855 Enrollment ID: I20180220001157 |
| Provider Name | Kyle Williams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114538246 PECOS PAC ID: 6406274349 Enrollment ID: I20200909002920 |
| Provider Name | Nicole Lee Gates |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073251708 PECOS PAC ID: 8527441575 Enrollment ID: I20220824000854 |
| Mailing Address | Practice Location Address |
|---|---|
| Buckeye Vision Care 30652 Red Rock Ct, Logan, OH 43138-9670 Ph: (740) 385-4006 | Buckeye Vision Care 30652 Red Rock Ct, Logan, OH 43138-9670 Ph: (740) 385-4006 |
Nicole Lee Gates, Optometrist Medicare: Medicare Enrolled Practice Location: 30652 Red Rock Ct, Logan, OH 43138 Phone: 740-385-4006 | |
Jenna Katherine Tyler, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 57 S Walnut St, Logan, OH 43138 Phone: 740-385-4006 | |
Milton C Mason, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 498 W Hunter St, Logan, OH 43138 Phone: 740-385-4017 Fax: 740-385-7666 | |
Dr. Lawrence Jonathan Mesarch, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 57 S Walnut St, Logan, OH 43138 Phone: 740-385-4006 Fax: 740-385-4043 | |
S Louis Berta, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15171 Burcham Rd, Logan, OH 43138 Phone: 740-385-6545 | |
Thomas S Price, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 158 E Main St, Logan, OH 43138 Phone: 740-385-4006 Fax: 740-385-4043 | |
Patricia Noonan, O.D Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12910 State Route 664 S, Logan, OH 43138 Phone: 740-380-1939 Fax: 740-380-6410 |