Edmonton Family Vision Center Psc | |
1406 W Stockton St, Edmonton, KY 42129-8125 | |
(270) 432-0123 | |
(270) 432-5899 |
Full Name | Edmonton Family Vision Center Psc |
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Type | Facility |
Speciality | Optometrist |
Location | 1406 W Stockton St, Edmonton, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275712416 | NPI | - | NPPES |
77903250 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1226DT (Kentucky) | Primary |
Provider Name | Cheryl G Whitlow |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1992701635 PECOS PAC ID: 7719952878 Enrollment ID: I20040901000095 |
Provider Name | Ronald T Wagner |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1700933298 PECOS PAC ID: 0840330940 Enrollment ID: I20091222000215 |
Provider Name | Robert N Whitlow |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1265438956 PECOS PAC ID: 0941275010 Enrollment ID: I20100319000378 |
Mailing Address | Practice Location Address |
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Edmonton Family Vision Center Psc 1406 W Stockton St, Edmonton, KY 42129-8125 Ph: (270) 432-0123 | Edmonton Family Vision Center Psc 1406 W Stockton St, Edmonton, KY 42129-8125 Ph: (270) 432-0123 |
Dr. Robert N Whitlow Ii, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1406 W Stockton St, Edmonton, KY 42129 Phone: 270-432-0123 Fax: 270-432-5899 | |
Dr. Cheryl Gilchrist Whitlow, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1406 W Stockton St, Edmonton, KY 42129 Phone: 270-432-0123 Fax: 270-432-5899 |