Family Vision Care Inc | |
100 Fayette Town Ctr, Fayetteville, WV 25840-9539 | |
(304) 574-3557 | |
Not Available |
Full Name | Family Vision Care Inc |
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Type | Facility |
Speciality | Optometrist |
Location | 100 Fayette Town Ctr, Fayetteville, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124340559 | NPI | - | NPPES |
3810016948 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 1042-OD (West Virginia) | Primary |
Provider Name | John M Cline |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1578698205 PECOS PAC ID: 4082781695 Enrollment ID: I20080924000271 |
Provider Name | William Pugh |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1821289745 PECOS PAC ID: 6002967577 Enrollment ID: I20090623000343 |
Provider Name | Summer D Jones |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1992131627 PECOS PAC ID: 2567690712 Enrollment ID: I20140114001692 |
Provider Name | Michael A Buchanan |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1871945295 PECOS PAC ID: 9739450768 Enrollment ID: I20170809000975 |
Provider Name | Jessica Fordyce |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1689363459 PECOS PAC ID: 7719345297 Enrollment ID: I20230614003491 |
Mailing Address | Practice Location Address |
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Family Vision Care Inc 100 Fayette Town Ctr, Fayetteville, WV 25840-9539 Ph: (304) 574-3557 | Family Vision Care Inc 100 Fayette Town Ctr, Fayetteville, WV 25840-9539 Ph: (304) 574-3557 |