Kody Brandon Phillip Lecurgo, | |
420 N James Rd, Columbus, OH 43219-1834 | |
(614) 257-5200 | |
Not Available |
Full Name | Kody Brandon Phillip Lecurgo |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 3 Years |
Location | 420 N James Rd, Columbus, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316521842 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT.006956 (Ohio) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cei Physicians Psc, Llc | 0749186427 | 143 |
Provider Name | Cei Physicians Psc, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1942296298 PECOS PAC ID: 0749186427 Enrollment ID: O20031211001059 |
Mailing Address | Practice Location Address |
---|---|
Kody Brandon Phillip Lecurgo, 83 Hartfield Ct, Powell, OH 43065-9499 Ph: (614) 915-5715 | Kody Brandon Phillip Lecurgo, 420 N James Rd, Columbus, OH 43219-1834 Ph: (614) 257-5200 |
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