| Premier Eye Center | |
|
980 Willow Creek Road, Suite 202, Prescott, AZ 86301 | |
| (928) 778-3937 | |
| (928) 778-3939 |
| Full Name | Premier Eye Center |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 980 Willow Creek Road, Prescott, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285813360 | NPI | - | NPPES |
| 4244670001 | Other | AZ | DMERC |
| 578966 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1102 (Arizona) | Primary |
| Provider Name | Jonathan Robert Bundy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265641203 PECOS PAC ID: 8527138551 Enrollment ID: I20080603000627 |
| Provider Name | Matthew R Sullivan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053311472 PECOS PAC ID: 0648265124 Enrollment ID: I20091203000689 |
| Provider Name | Lauren K West |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740705037 PECOS PAC ID: 4688929219 Enrollment ID: I20180621002020 |
| Provider Name | Kelsie V Stevens |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689283830 PECOS PAC ID: 1254757230 Enrollment ID: I20200820003681 |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Eye Center 980 Willow Creek Road, Suite 202, Prescott, AZ 86301 Ph: (928) 778-3937 | Premier Eye Center 980 Willow Creek Road, Suite 202, Prescott, AZ 86301 Ph: (928) 778-3937 |
Derek Jeanes, Optometrist Medicare: Medicare Enrolled Practice Location: 3192 Willow Creek Rd, Prescott, AZ 86301 Phone: 928-445-1234 Fax: 602-508-4830 | |
Dr. Matthew Ryan Sullivan, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 980 Willow Creek Road, Suite 202, Prescott, AZ 86301 Phone: 928-778-3937 Fax: 928-778-3939 | |
Dr. Patrick Allen Willer, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 3911 E State Route 69, Prescott, AZ 86301 Phone: 928-442-0707 | |
Dr. Frank V. Mellblom, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: V.a. Medical Center Navahcs, 500 N Hwy 89, Prescott, AZ 86314 Phone: 928-445-4860 | |
Dr. Monica Rae Stotler, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1727 Willow Creek Rd, Prescott, AZ 86301 Phone: 928-717-3259 | |
Geiler And Geiler, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 1000 Willow Creek Rd, Ste J, Prescott, AZ 86301 Phone: 928-445-2060 Fax: 925-445-2067 | |
Jonathan Lam, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 500 N Us Highway 89, Prescott, AZ 86313 Phone: 928-717-7477 |