Dr William R Fawcett, OD | |
2500 E Market St, Logansport, IN 46947 | |
(574) 753-3583 | |
(574) 722-2364 |
Full Name | Dr William R Fawcett |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 2500 E Market St, Logansport, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356392377 | NPI | - | NPPES |
100070660 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 18001775A (Indiana) | Primary |
Provider Name | Midwest Eye Consultants Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1912960535 PECOS PAC ID: 2961399217 Enrollment ID: O20040302000158 |
Mailing Address | Practice Location Address |
---|---|
Dr William R Fawcett, OD 2500 E Market St, P. O. Box 597, Logansport, IN 46947-2011 Ph: (574) 722-5252 | Dr William R Fawcett, OD 2500 E Market St, Logansport, IN 46947 Ph: (574) 753-3583 |
Dr. Gregory S Densborn, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 824 E Broadway, Logansport, IN 46947 Phone: 574-737-8313 Fax: 574-735-2130 | |
Dr. Emily Brooke Brandstatter, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2500 E Market St, Logansport, IN 46947 Phone: 574-722-5252 Fax: 574-722-3202 | |
Kelsey Schlegelmilch, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 333 Mall Rd, Logansport, IN 46947 Phone: 574-722-1797 | |
Karisa Ann Hall, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 444 Mall Rd, Logansport, IN 46947 Phone: 574-722-3937 | |
Kenneth E Lawrence, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 216 E Market St, Logansport, IN 46947 Phone: 574-753-2559 Fax: 574-722-4926 | |
Midwest Eye Consultants #03 Optometrist Medicare: Medicare Enrolled Practice Location: 2500 E Market St, Logansport, IN 46947 Phone: 574-753-3583 Fax: 765-722-2364 |