Innovative Vision Llc | |
9711 Montgomery Rd, Montgomery, OH 45242-7207 | |
(513) 793-8486 | |
(513) 793-2023 |
Full Name | Innovative Vision Llc |
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Type | Facility |
Speciality | Optometrist |
Location | 9711 Montgomery Rd, Montgomery, Ohio |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912187402 | NPI | - | NPPES |
2225729 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 5396 (Ohio) | Primary |
Provider Name | Brian Keith Kuhlman |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1528096609 PECOS PAC ID: 2365425659 Enrollment ID: I20040608001365 |
Provider Name | Kevin T Corcoran |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1902863673 PECOS PAC ID: 7810970100 Enrollment ID: I20100225000626 |
Provider Name | William Davis |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1033117528 PECOS PAC ID: 1456314327 Enrollment ID: I20130102000377 |
Mailing Address | Practice Location Address |
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Innovative Vision Llc 9711 Montgomery Rd, Montgomery, OH 45242-7207 Ph: (513) 793-8486 | Innovative Vision Llc 9711 Montgomery Rd, Montgomery, OH 45242-7207 Ph: (513) 793-8486 |
Innovative Vision Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9711 Montgomery Rd, Montgomery, OH 45242 Phone: 513-793-8486 Fax: 513-793-2023 |