Dr Tiffany Procaccini, OD | |
320 W Walton St, Willard, OH 44890-9133 | |
(419) 933-2741 | |
Not Available |
Full Name | Dr Tiffany Procaccini |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 15 Years |
Location | 320 W Walton St, Willard, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912136755 | NPI | - | NPPES |
1043330871 | Other | OH | GROUP NPI |
9292043 | Other | OH | GROUP PTAN |
2988521 | Medicaid | OH | |
CG0387 | Other | OH | RAILROAD MEDICARE GROUP PTAN |
1912136755 | Other | OH | INDIVIDUAL NPI |
H060602 | Other | OH | INDIVIDUAL PTAN |
P01269559 | Other | OH | RAILROAD MEDCIARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 5906 (Ohio) | Primary |
Provider Name | Willard Eye Care Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1851823330 PECOS PAC ID: 4981981644 Enrollment ID: O20170505000589 |
Mailing Address | Practice Location Address |
---|---|
Dr Tiffany Procaccini, OD Po Box 270, Willard, OH 44890-0270 Ph: (419) 933-2741 | Dr Tiffany Procaccini, OD 320 W Walton St, Willard, OH 44890-9133 Ph: (419) 933-2741 |
Phillip Keysor Optometrist Medicare: Medicare Enrolled Practice Location: 219 Crestwood Dr, Willard, OH 44890 Phone: 419-935-1505 Fax: 419-933-7071 | |
Kenneth Leon Gortz, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 421a E Walton St, Willard, OH 44890 Phone: 419-933-4327 Fax: 419-933-4336 | |
Hookway Eye Care Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 320 W Walton St, Willard, OH 44890 Phone: 419-933-2741 Fax: 419-933-7281 | |
Philip Dale Keysor, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 219 Crestwood Dr, Willard, OH 44890 Phone: 419-935-1505 Fax: 419-933-7071 | |
Willard Eye Care Inc Optometrist Medicare: Medicare Enrolled Practice Location: 320 W Walton St, Willard, OH 44890 Phone: 419-933-2741 Fax: 419-933-7281 | |
Ohio Hearing & Vision Professionals, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 421 A E. Walton St., Willard, OH 44890 Phone: 419-933-4327 Fax: 419-933-4336 |