| Granville Vision Center Llc | |
|
205 1/2 S Prospect St, Granville, OH 43023-1423 | |
| (614) 361-0954 | |
| Not Available |
| Full Name | Granville Vision Center Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 205 1/2 S Prospect St, Granville, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083230858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Jenna Tyler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093243487 PECOS PAC ID: 8820361926 Enrollment ID: I20170912003297 |
| Mailing Address | Practice Location Address |
|---|---|
| Granville Vision Center Llc 1876 Westwood Ave, Columbus, OH 43212-1133 Ph: (614) 361-0954 | Granville Vision Center Llc 205 1/2 S Prospect St, Granville, OH 43023-1423 Ph: (614) 361-0954 |
Dr. Nancy R Dietz, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 114 N Galway Dr, Granville, OH 43023 Phone: 740-587-4970 Fax: 740-587-4863 | |
Dr. Franklin Melville Bickle, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1955 Newark Granville Rd, Granville, OH 43023 Phone: 740-587-3937 Fax: 740-587-3589 | |
Procare Vision Centers Inc Optometrist Medicare: Medicare Enrolled Practice Location: 1955 Newark Granville Rd, Granville, OH 43023 Phone: 740-587-3937 Fax: 740-587-3589 | |
Karen H. Berdan, Optometrist Medicare: Medicare Enrolled Practice Location: 205 1/2 S Prospect St, Granville, OH 43023 Phone: 740-587-4741 Fax: 740-587-4135 | |
Dr. Brett Alan Dietz, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 114 N Galway Dr, Granville, OH 43023 Phone: 740-587-4970 Fax: 740-587-4863 | |
Dr. Katherine Bickle, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1955 Newark Granville Rd, Granville, OH 43023 Phone: 740-587-3937 Fax: 740-587-3589 |