| |
103 Diecks Dr, Elizabethtown, KY 42701-2444 | |
(270) 769-1397 | |
(270) 765-4899 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 103 Diecks Dr, Elizabethtown, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366814824 | NPI | - | NPPES |
77000222 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1493DT (Kentucky) | Primary |
Provider Name | Cristina Villanueva Patrick |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1417943580 PECOS PAC ID: 3971790247 Enrollment ID: I20101213000615 |
Mailing Address | Practice Location Address |
---|---|
103 Diecks Dr, Elizabethtown, KY 42701-2444 Ph: (270) 769-1397 | 103 Diecks Dr, Elizabethtown, KY 42701-2444 Ph: (270) 769-1397 |
Dr. Lexie Turpin Honey, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1709 N Dixie Ave Ste 101, Elizabethtown, KY 42701 Phone: 606-219-1721 | |
Dr. Kristen Lauerman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1709 N Dixie Ave, Elizabethtown, KY 42701 Phone: 270-765-2020 Fax: 502-736-4482 | |
Dr. Teresa Ann Wise, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2904 Dolphin Dr, Elizabethtown, KY 42701 Phone: 270-769-3708 Fax: 270-765-2043 | |