Deconcilis Eye And Vision Center, Pc | |
950 S Central Ave, Suite 1, Canonsburg, PA 15317-1489 | |
(724) 745-2020 | |
(724) 745-4888 |
Full Name | Deconcilis Eye And Vision Center, Pc |
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Type | Facility |
Speciality | Optometrist |
Location | 950 S Central Ave, Canonsburg, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801086913 | NPI | - | NPPES |
001193064 | Medicaid | PA | |
101014498 | Medicaid | PA | |
DN2099 | Other | PA | RAILROAD MEDICARE PART B GROUP PTAN |
P00609148 | Other | PA | RAILROAD MEDICARE PART B GROUP MEMBER PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OEG000998 (Pennsylvania) | Primary |
Provider Name | Ashley Mowl |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1467477265 PECOS PAC ID: 3072513985 Enrollment ID: I20070827000076 |
Provider Name | Austin Tocco |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1942935762 PECOS PAC ID: 8729460241 Enrollment ID: I20220801000786 |
Provider Name | Jacob Burley Davis |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1811760747 PECOS PAC ID: 0244689933 Enrollment ID: I20231206002402 |
Mailing Address | Practice Location Address |
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Deconcilis Eye And Vision Center, Pc 950 S Central Ave, Suite 1, Canonsburg, PA 15317-1489 Ph: (724) 745-2020 | Deconcilis Eye And Vision Center, Pc 950 S Central Ave, Suite 1, Canonsburg, PA 15317-1489 Ph: (724) 745-2020 |
Kylie Ann Centore, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 220 E Mcmurray Rd, Canonsburg, PA 15317 Phone: 724-942-1300 | |
Dr. Ashley D Mowl, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 950 South Central Ave, Suite 1, Canonsburg, PA 15317 Phone: 724-745-2020 Fax: 724-745-4888 | |
Dr. Jacob Burley Davis, OD Optometrist Medicare: Medicare Enrolled Practice Location: 950 S Central Ave, Canonsburg, PA 15317 Phone: 724-745-2020 Fax: 724-745-4888 | |
Dr. Austin Tocco, OD Optometrist Medicare: Medicare Enrolled Practice Location: 950 S Central Ave, Canonsburg, PA 15317 Phone: 724-745-2020 Fax: 724-745-4888 |