Carrollton Family Vision | |
113 N Lisbon St, Carrollton, OH 44615-1327 | |
(330) 627-2430 | |
Not Available |
Full Name | Carrollton Family Vision |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 113 N Lisbon St, Carrollton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336153196 | NPI | - | NPPES |
0561299 | Medicaid | OH | |
0076271 | Medicaid | OH | |
0171174 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3728 (Ohio) | Primary |
Provider Name | Gregory A Fair |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1376657668 PECOS PAC ID: 0143346171 Enrollment ID: I20100928000789 |
Provider Name | Kelsea Diane Naylor |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1780033217 PECOS PAC ID: 3375835317 Enrollment ID: I20160712000914 |
Mailing Address | Practice Location Address |
---|---|
Carrollton Family Vision 113 N Lisbon St, Carrollton, OH 44615-1327 Ph: (330) 627-2430 | Carrollton Family Vision 113 N Lisbon St, Carrollton, OH 44615-1327 Ph: (330) 627-2430 |
Dr. Gregory A Fair, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 113 N Lisbon St, Carrollton, OH 44615 Phone: 330-627-2430 | |
Dr. Kelsea Diane Naylor, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 113 N Lisbon St, Carrollton, OH 44615 Phone: 330-627-2430 Fax: 330-627-5681 |