Iola Vision Source, Llc | |
216 N Jefferson Ave, Iola, KS 66749-2943 | |
(620) 365-2108 | |
(620) 365-2108 |
Full Name | Iola Vision Source, Llc |
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Type | Facility |
Speciality | Optometrist |
Location | 216 N Jefferson Ave, Iola, Kansas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568550754 | NPI | - | NPPES |
100642380A | Medicaid | KS | |
DA4480 | Other | KS | RAILROAD MEDICARE # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Douglas Alan Donnelly |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1912972308 PECOS PAC ID: 8022146729 Enrollment ID: I20100517000189 |
Provider Name | Matthew D Skahan |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1528033677 PECOS PAC ID: 3476687369 Enrollment ID: I20100813000699 |
Mailing Address | Practice Location Address |
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Iola Vision Source, Llc Po Box 847, Iola, KS 66749-0847 Ph: (620) 365-2108 | Iola Vision Source, Llc 216 N Jefferson Ave, Iola, KS 66749-2943 Ph: (620) 365-2108 |
Dr. C. Ellis Potter, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 424 N Washington Ave, Iola, KS 66749 Phone: 620-365-2108 Fax: 620-365-2522 | |
Dr. Matthew Dennis Skahan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 424 N Washington Ave, Iola, KS 66749 Phone: 620-365-2108 Fax: 620-365-2522 | |
Dr. Douglas Alan Donnelly, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 424 N Washington Ave, Iola, KS 66749 Phone: 620-365-2108 Fax: 620-365-2522 |