| Dr Jerry L Neely, OD | |
|
1790 Commerce Center Blvd, Fairborn, OH 45324-6358 | |
| (937) 878-3941 | |
| (937) 878-3525 |
| Full Name | Dr Jerry L Neely |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 1790 Commerce Center Blvd, Fairborn, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073666889 | NPI | - | NPPES |
| NE0403232 | Other | OH | MEDICARE LEGACY NUMBER |
| 310824134031 | Other | OH | CARESOURCE |
| 0311200 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2797 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jerry L Neely, OD 1790 Commerce Center Blvd, Fairborn, OH 45324-6358 Ph: (937) 878-3941 | Dr Jerry L Neely, OD 1790 Commerce Center Blvd, Fairborn, OH 45324-6358 Ph: (937) 878-3941 |
Dr. Elizabeth A Snyder, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1790 Commerce Center Blvd, Fairborn, OH 45324 Phone: 937-878-3941 Fax: 937-878-3525 | |
The Fairborn Vision Center Optometrist Medicare: Medicare Enrolled Practice Location: 1790 Commerce Center Blvd, Fairborn, OH 45324 Phone: 937-878-3941 | |
Dr. Steven W Shroder, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1790 Commerce Center Blvd, Fairborn, OH 45324 Phone: 937-878-3941 Fax: 937-878-3525 | |
Dapore Vision Care Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1877 S Maple Ave, Suite 100, Fairborn, OH 45324 Phone: 937-878-8800 Fax: 937-878-8802 |