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6050 State Route 571 E, Greenville, OH 45331-9695 | |
(937) 547-6050 | |
(937) 547-1911 |
Full Name | |
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Type | Facility |
Speciality | Ophthalmology |
Location | 6050 State Route 571 E, Greenville, Ohio |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548493562 | NPI | - | NPPES |
3023061 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Kevin T Scripture |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1700869179 PECOS PAC ID: 7810982287 Enrollment ID: I20040915001238 |
Provider Name | Elise L Beatty |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1942287511 PECOS PAC ID: 6406824531 Enrollment ID: I20040917000159 |
Provider Name | Bryan C Hainline |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1073711966 PECOS PAC ID: 8921190968 Enrollment ID: I20110127000551 |
Provider Name | Joseph L Moriarity |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1598322844 PECOS PAC ID: 5597099879 Enrollment ID: I20190924001462 |
Mailing Address | Practice Location Address |
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Po Box 399, Richmond, IN 47375-0399 Ph: (765) 962-2020 | 6050 State Route 571 E, Greenville, OH 45331-9695 Ph: (937) 547-6050 |