| Envision Eye Care And Eyewear Gallery | |
|
14413 Illinois Rd, Ste. C, Fort Wayne, IN 46814-9714 | |
| (260) 616-0184 | |
| (855) 271-9517 |
| Full Name | Envision Eye Care And Eyewear Gallery |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 14413 Illinois Rd, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811280076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 18003334 (Indiana) | Primary |
| Provider Name | Christina Marie Mummert |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821086380 PECOS PAC ID: 8123044773 Enrollment ID: I20051021000896 |
| Provider Name | Susan Marie Goode |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659427102 PECOS PAC ID: 1850547100 Enrollment ID: I20120802000161 |
| Mailing Address | Practice Location Address |
|---|---|
| Envision Eye Care And Eyewear Gallery 14413 Illinois Rd, Ste. C, Fort Wayne, IN 46814-9714 Ph: (260) 616-0184 | Envision Eye Care And Eyewear Gallery 14413 Illinois Rd, Ste. C, Fort Wayne, IN 46814-9714 Ph: (260) 616-0184 |
Dr. Martin R. White, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6110 Maplecrest Rd, Fort Wayne, IN 46835 Phone: 260-486-8833 Fax: 260-486-8784 | |
Dr. George D Taylor, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3401 Lake Ave, Fort Wayne, IN 46805 Phone: 260-426-3095 Fax: 260-420-2258 | |
Eric Skorupa, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2001 Reed Rd, Fort Wayne, IN 46815 Phone: 260-426-5663 Fax: 260-426-5693 | |
Rutan Optometry Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5229 Coldwater Rd, Fort Wayne, IN 46825 Phone: 260-484-1453 Fax: 260-483-8287 | |
Brent D. Burch, OD Optometrist Medicare: Medicare Enrolled Practice Location: 7625 Southtown Xing, Fort Wayne, IN 46816 Phone: 260-447-9731 Fax: 260-441-8276 | |
Dr. Frank Robinson Jr., O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6710 Old Trail Rd, Fort Wayne, IN 46809 Phone: 260-203-5905 Fax: 260-218-1802 | |
Dr. Daniel P Taylor, O. D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 431 W Coliseum Blvd, Fort Wayne, IN 46805 Phone: 260-484-8516 Fax: 260-484-8521 |