| Defiance Optometric Group Inc | |
|
800 N Clinton St, Suite D, Defiance, OH 43512-4610 | |
| (419) 782-1901 | |
| (419) 782-2200 |
| Full Name | Defiance Optometric Group Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 800 N Clinton St, Defiance, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255443792 | NPI | - | NPPES |
| 5856506 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Deborah Stein |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588688766 PECOS PAC ID: 9133123938 Enrollment ID: I20060911000181 |
| Provider Name | Jacquelyn Gayle Short |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588072003 PECOS PAC ID: 4880919430 Enrollment ID: I20211007002972 |
| Mailing Address | Practice Location Address |
|---|---|
| Defiance Optometric Group Inc 800 N Clinton St, Suite D, Defiance, OH 43512-4610 Ph: (419) 782-1901 | Defiance Optometric Group Inc 800 N Clinton St, Suite D, Defiance, OH 43512-4610 Ph: (419) 782-1901 |
Thomas E Sandy, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 800 N Clinton St, Suite D, Defiance, OH 43512 Phone: 419-782-1901 Fax: 419-782-2200 | |
Daniel L Meffley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 800 N Clinton St, Suite, Defiance, OH 43512 Phone: 419-782-9082 Fax: 419-782-2200 | |
Brunswick Eye And Contact Lens Center, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 283 Stadium Dr, Defiance, OH 43512 Phone: 419-782-3937 | |
Dr. Amy J Brunswick, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 283 Stadium Dr, Defiance, OH 43512 Phone: 419-782-3937 Fax: 419-782-3930 | |
Dr. Heidi Lynn Lacey, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 283 Stadium Dr, Defiance, OH 43512 Phone: 419-782-3937 Fax: 419-782-3930 | |
Dr. Jeffrey Clay Fogt, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 101 Clinton St, Ste 1000, Defiance, OH 43512 Phone: 419-782-4831 Fax: 419-784-0197 |