Grand Lake Eyecare, Llc is a
Optometrist based in Fort Recovery, Ohio. Grand Lake Eyecare, Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
130 N. Wayne St, Fort Recovery, Ohio. It can be reached at their office (for appointments etc.) via phone at
(419) 375-5665.
NPI number for Grand Lake Eyecare, Llc is 1487083697 and their current mailing address is Po Box 645, Fort Recovery, Ohio. Grand Lake Eyecare, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1487083697.
Healthcare Provider's Profile
Full Name | Grand Lake Eyecare, Llc |
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Type | Facility |
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Speciality | Optometrist |
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Location | 130 N. Wayne St, Fort Recovery, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1487083697
- Provider Enumeration Date: 11/07/2013
- Last Update Date: 11/07/2013
Medical Identifiers
Medical identifiers for Grand Lake Eyecare, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487083697 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Grand Lake Eyecare, Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Grand Lake Eyecare, Llc Po Box 645, Fort Recovery, OH 45846-0645 Ph: (419) 375-5665 | Grand Lake Eyecare, Llc 130 N. Wayne St, Fort Recovery, OH 45846-0645 Ph: (419) 375-5665 |
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