Dr Mark Edward Fechtel, OD | |
16968 W Bell Rd Ste 402, Surprise, AZ 85374-8943 | |
(623) 214-0353 | |
(623) 214-0693 |
Full Name | Dr Mark Edward Fechtel |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 16968 W Bell Rd Ste 402, Surprise, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356338636 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1117 (Arizona) | Primary |
Provider Name | Active Eyecare Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1295100204 PECOS PAC ID: 8426316993 Enrollment ID: O20171212000108 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark Edward Fechtel, OD 220 N Mckemy Ave, Chandler, AZ 85226-2654 Ph: (480) 961-1865 | Dr Mark Edward Fechtel, OD 16968 W Bell Rd Ste 402, Surprise, AZ 85374-8943 Ph: (623) 214-0353 |
Jesse Austin Lam, OD Optometrist Medicare: Medicare Enrolled Practice Location: 13371 W Grand Ave Ste 102, Surprise, AZ 85374 Phone: 623-556-8083 | |
Dr. Rachel Evelyn Groff, OD Optometrist Medicare: Medicare Enrolled Practice Location: 12801 W Bell Rd Ste 139, Surprise, AZ 85378 Phone: 623-583-0377 Fax: 623-583-0378 | |
Dr. Sara Beth Ornstein, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15033 W Bell Rd, Suite 150, Surprise, AZ 85374 Phone: 623-533-4697 Fax: 623-533-4907 | |
Daniel David Ziemann, OD Optometrist Medicare: Medicare Enrolled Practice Location: 13641 N Prasada Pkwy Ste 100, Surprise, AZ 85388 Phone: 623-401-1275 | |
Tom Sowash O.d. & Associates, P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 13641 N Prasada Pkwy Ste 100, Surprise, AZ 85388 Phone: 726-444-4545 |