Family Eyehealth Center, Llc | |
1824 Declaration Dr, Independence, KY 41051-8196 | |
(859) 363-3347 | |
Not Available |
Full Name | Family Eyehealth Center, Llc |
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Type | Facility |
Speciality | Optometrist |
Location | 1824 Declaration Dr, Independence, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558485839 | NPI | - | NPPES |
77903938 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1168DT (Kentucky) | Primary |
332H00000X | Eyewear Supplier | 1168DT (Kentucky) | Secondary |
Provider Name | Craig S Pennell |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1841351228 PECOS PAC ID: 4183667223 Enrollment ID: I20050614000007 |
Mailing Address | Practice Location Address |
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Family Eyehealth Center, Llc 1824 Declaration Dr, Independence, KY 41051-8196 Ph: (859) 363-3347 | Family Eyehealth Center, Llc 1824 Declaration Dr, Independence, KY 41051-8196 Ph: (859) 363-3347 |
Sawyer Vision Holdings Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1131 Laurelwood Ln, Independence, KY 41051 Phone: 513-633-0060 | |
Craig S Pennell, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1824 Declaration Dr, Independence, KY 41051 Phone: 859-363-3347 |