Dr Gabrielle Renee Ault, OD | |
120 Main St, Vincennes, IN 47591-1234 | |
(812) 255-3003 | |
(812) 255-5449 |
Full Name | Dr Gabrielle Renee Ault |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 120 Main St, Vincennes, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336988757 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 18004490B (Indiana) | Secondary |
152W00000X | Optometrist | 18004490A (Indiana) | Primary |
Provider Name | Clear Image Eye Center Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1801255526 PECOS PAC ID: 6507165065 Enrollment ID: O20160504002134 |
Mailing Address | Practice Location Address |
---|---|
Dr Gabrielle Renee Ault, OD 1209 S State Road 57, Washington, IN 47501-4367 Ph: (812) 254-0990 | Dr Gabrielle Renee Ault, OD 120 Main St, Vincennes, IN 47591-1234 Ph: (812) 255-3003 |
Eyeworks Optometrist Medicare: Medicare Enrolled Practice Location: 223 Main St, Vincennes, IN 47591 Phone: 812-882-4809 Fax: 812-882-9485 | |
Wabash Valley Eye Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2020 S Clearview Dr, Vincennes, IN 47591 Phone: 812-882-9600 | |
Jericho L. Quick, O.d. Optometrist Medicare: Medicare Enrolled Practice Location: 1813 Willow St Ste 2a, Vincennes, IN 47591 Phone: 812-255-0559 Fax: 812-316-0020 | |
Dirk J. Bochner, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 223 Main St, Vincennes, IN 47591 Phone: 812-882-4809 Fax: 812-882-9485 | |
Dr. Eli B Hendrix Iii, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 223 Main St, Vincennes, IN 47591 Phone: 812-882-4809 Fax: 812-882-9485 | |
Dr. John Scott Hendrix, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 223 Main St, Vincennes, IN 47591 Phone: 812-882-4809 Fax: 812-882-4859 |