| |
277 Yankeetown St, Mt Sterling, OH 43143-9410 | |
(740) 869-4882 | |
(740) 869-7698 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 277 Yankeetown St, Mt Sterling, Ohio |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508986829 | NPI | - | NPPES |
2194236 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2756T356 (Ohio) | Primary |
Provider Name | Taylor Peters |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1447600150 PECOS PAC ID: 6800182940 Enrollment ID: I20160915001601 |
Mailing Address | Practice Location Address |
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277 Yankeetown St, Po Box 146, Mt Sterling, OH 43143-9410 Ph: (740) 869-4882 | 277 Yankeetown St, Mt Sterling, OH 43143-9410 Ph: (740) 869-4882 |
Taylor Peters, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 277 Yankeetown St, Mt Sterling, OH 43143 Phone: 740-869-4882 Fax: 740-869-7698 |