| Newark Optometry Llc | |
|
603 Country Club Dr, Newark, OH 43055-2154 | |
| (740) 344-1312 | |
| Not Available |
| Full Name | Newark Optometry Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 603 Country Club Dr, Newark, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841312139 | NPI | - | NPPES |
| 2269754 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 0H5165 (Ohio) | Primary |
| Provider Name | Douglas J Ryen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174698245 PECOS PAC ID: 2567364904 Enrollment ID: I20040126000030 |
| Provider Name | Kelly A Ryen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588689780 PECOS PAC ID: 4486652138 Enrollment ID: I20061114000027 |
| Provider Name | Jonathan Jay Lytle |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831503630 PECOS PAC ID: 3173743440 Enrollment ID: I20141008002263 |
| Mailing Address | Practice Location Address |
|---|---|
| Newark Optometry Llc 603 Country Club Dr, Newark, OH 43055-2154 Ph: () - | Newark Optometry Llc 603 Country Club Dr, Newark, OH 43055-2154 Ph: (740) 344-1312 |
Nicholas Tyler Perichak, O.D, M.S. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1010 N 21st St, Newark, OH 43055 Phone: 740-366-5050 | |
Dr. Holly Lee Hanbaum, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1010 North 21st St, Newark, OH 43055 Phone: 740-366-5050 Fax: 740-366-4149 | |
Neely And Hanbaum Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1010 N 21st St, Newark, OH 43055 Phone: 740-366-5050 | |
Dr. Cheryl A Wood Eckhardt, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 603 Country Club Dr, Newark, OH 43055 Phone: 740-344-1312 Fax: 740-344-1365 | |
Bloomberg Eye Center Optometrist Medicare: Medicare Enrolled Practice Location: 1651 W Main Street, Newark, OH 43055 Phone: 740-522-3937 Fax: 740-522-6766 | |
Dr. Kathryn Sovine Wise, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 603 Country Club Dr, Newark, OH 43055 Phone: 740-344-1312 Fax: 740-344-1365 | |
Dr. Jack Lynn Neely, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1010 N 21st St, Newark, OH 43055 Phone: 740-366-5050 Fax: 740-366-4149 |