Mr Jeremy David Fowler, OD | |
6501 Veterans Memorial Pkwy, Crestwood, KY 40014-8694 | |
(502) 996-7450 | |
Not Available |
Full Name | Mr Jeremy David Fowler |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 16 Years |
Location | 6501 Veterans Memorial Pkwy, Crestwood, Kentucky |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225290406 | NPI | - | NPPES |
11875636 | Other | CAQH | |
7100428530 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 18003525A (Indiana) | Secondary |
152W00000X | Optometrist | 1811DT (Kentucky) | Primary |
Provider Name | Derby City Eye Care, Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1528425444 PECOS PAC ID: 2062719669 Enrollment ID: O20160325000842 |
Mailing Address | Practice Location Address |
---|---|
Mr Jeremy David Fowler, OD 6501 Veterans Memorial Pkwy, Crestwood, KY 40014-8694 Ph: (502) 996-7450 | Mr Jeremy David Fowler, OD 6501 Veterans Memorial Pkwy, Crestwood, KY 40014-8694 Ph: (502) 996-7450 |
Derby City Eye Care, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 6501 Veterans Memorial Pkwy, Crestwood, KY 40014 Phone: 502-996-7450 Fax: 844-270-4014 | |
Dr. 2eyes Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 5998 Pleasant Colony Ct Ste 16, Crestwood, KY 40014 Phone: 502-599-9998 | |
Dr. Andrew Steele, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6400 Westwind Way, Crestwood, KY 40014 Phone: 502-243-2227 Fax: 502-243-2237 |