Lebanon Vision Center, Llc | |
777 Columbus Ave, Lebanon, OH 45036-1684 | |
(513) 932-3343 | |
(216) 365-6403 |
Full Name | Lebanon Vision Center, Llc |
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Type | Facility |
Speciality | Optometrist |
Location | 777 Columbus Ave, Lebanon, Ohio |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013641703 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Gregory James Stucke |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1689982704 PECOS PAC ID: 4082874607 Enrollment ID: I20120319000765 |
Provider Name | Kacie L Stucke |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1568778702 PECOS PAC ID: 7911132238 Enrollment ID: I20131022001729 |
Mailing Address | Practice Location Address |
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Lebanon Vision Center, Llc 777 Columbus Ave, Lebanon, OH 45036-1684 Ph: (513) 932-3343 | Lebanon Vision Center, Llc 777 Columbus Ave, Lebanon, OH 45036-1684 Ph: (513) 932-3343 |
Tracy Heffron Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1530 Walmart Dr, Lebanon, OH 45036 Phone: 513-932-2993 | |
Thomas B Dankworth Od Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 600 Mound Ct, Lebanon, OH 45036 Phone: 513-932-5965 | |
Keith A Bednarczuk Od Inc Optometrist Medicare: Medicare Enrolled Practice Location: 777 Columbus Ave, Suite 12, Lebanon, OH 45036 Phone: 513-932-3343 Fax: 513-932-0078 | |
Village Eye Care, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1001 Monroe Rd, Lebanon, OH 45036 Phone: 513-934-2020 Fax: 513-934-2028 | |
Thomas B. Dankworth, O.d., Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 600 Mound Ct, Lebanon, OH 45036 Phone: 513-932-5965 Fax: 513-932-2650 | |
Clarkson Optometry Midwest Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1001 Monroe Rd, Lebanon, OH 45036 Phone: 513-934-2020 Fax: 513-934-2028 |