| Myeyedr. | |
|
2705 N Lebanon St Ste 230, Lebanon, IN 46052-8627 | |
| (765) 482-2066 | |
| (765) 482-4847 |
| Full Name | Myeyedr. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2705 N Lebanon St Ste 230, Lebanon, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083100424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Carl Dana Meyer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356357511 PECOS PAC ID: 3173435773 Enrollment ID: I20031113000482 |
| Provider Name | Terry P Silke |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740345230 PECOS PAC ID: 9537057609 Enrollment ID: I20040309001250 |
| Provider Name | Robert Andrew Riggle |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720126048 PECOS PAC ID: 8921089541 Enrollment ID: I20040528000139 |
| Provider Name | Andrea Anderson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033101043 PECOS PAC ID: 6305820929 Enrollment ID: I20040617000463 |
| Provider Name | Joseph Vincent Despirito |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962575761 PECOS PAC ID: 6103802673 Enrollment ID: I20040625000378 |
| Provider Name | Michael J Mcveigh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114021383 PECOS PAC ID: 9830176825 Enrollment ID: I20040707001119 |
| Provider Name | Kelly L Gelarden |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821146697 PECOS PAC ID: 2567415524 Enrollment ID: I20050324001183 |
| Provider Name | Shawn P Sigler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467587998 PECOS PAC ID: 6406894377 Enrollment ID: I20050420001406 |
| Provider Name | Larry A Koval |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770503914 PECOS PAC ID: 5294788253 Enrollment ID: I20050502000642 |
| Provider Name | Lourdes H Lorino |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003877796 PECOS PAC ID: 1951345602 Enrollment ID: I20050614000959 |
| Provider Name | Jean Paul Etienne |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952383937 PECOS PAC ID: 6709813454 Enrollment ID: I20050725000448 |
| Provider Name | Brian Matthew Ross |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144213786 PECOS PAC ID: 9335177112 Enrollment ID: I20050804000163 |
| Provider Name | Raymond Albert Hopper |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003875543 PECOS PAC ID: 2668404609 Enrollment ID: I20050909000843 |
| Provider Name | Timothy H Mcgillen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285769133 PECOS PAC ID: 1254354053 Enrollment ID: I20060106000813 |
| Provider Name | Jennifer Rae Bailey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093796633 PECOS PAC ID: 4587687397 Enrollment ID: I20060106000847 |
| Provider Name | Karen Bickel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356484455 PECOS PAC ID: 6305803644 Enrollment ID: I20060228000504 |
| Provider Name | Ganhan Tamanesa Ewers |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982656559 PECOS PAC ID: 8426053562 Enrollment ID: I20060925000372 |
| Provider Name | Joan L Frank |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134121643 PECOS PAC ID: 8224131107 Enrollment ID: I20070314000159 |
| Provider Name | Patrick G Albert |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548296718 PECOS PAC ID: 9537262126 Enrollment ID: I20070320000578 |
| Provider Name | Gregory C Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598878365 PECOS PAC ID: 3274637004 Enrollment ID: I20070403000444 |
| Provider Name | Andrea Bowmar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891736617 PECOS PAC ID: 2860596640 Enrollment ID: I20070404000130 |
| Provider Name | Heidi M Park |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710902721 PECOS PAC ID: 1658478102 Enrollment ID: I20070518000124 |
| Provider Name | Sheila Bogart |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902859812 PECOS PAC ID: 8527166305 Enrollment ID: I20070601000003 |
| Provider Name | David John Millikan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144240706 PECOS PAC ID: 8325130230 Enrollment ID: I20070823000427 |
| Provider Name | Shannon Pierce |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871678417 PECOS PAC ID: 7214022946 Enrollment ID: I20070926000986 |
| Provider Name | Elizabeth Newman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366647976 PECOS PAC ID: 2062507254 Enrollment ID: I20071003000273 |
| Provider Name | Holly S Coriell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205927068 PECOS PAC ID: 0244329803 Enrollment ID: I20071204000656 |
| Provider Name | Kathryn L Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427136662 PECOS PAC ID: 0840376521 Enrollment ID: I20080320000282 |
| Provider Name | Abbey Dawn Flora |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992901920 PECOS PAC ID: 2264518695 Enrollment ID: I20080326000558 |
| Provider Name | Stephanie D Ray |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316068067 PECOS PAC ID: 2466522511 Enrollment ID: I20080602000797 |
| Provider Name | Jerome D Muskat |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205967627 PECOS PAC ID: 0749357069 Enrollment ID: I20080929000008 |
| Provider Name | Rebecca A Long |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124168836 PECOS PAC ID: 2062513971 Enrollment ID: I20081022000404 |
| Provider Name | Denver J Mcdaniel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760610265 PECOS PAC ID: 6305998691 Enrollment ID: I20090717000070 |
| Provider Name | Natalie Elizabeth Corey Tangen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699903138 PECOS PAC ID: 5395897623 Enrollment ID: I20090717000447 |
| Provider Name | Judson F Avila |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205035037 PECOS PAC ID: 2062509979 Enrollment ID: I20090727000284 |
| Provider Name | Meagan H Avila |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144485749 PECOS PAC ID: 9133273923 Enrollment ID: I20090813000074 |
| Provider Name | Bruce Hinkle Burns |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962550095 PECOS PAC ID: 6305979261 Enrollment ID: I20100729000799 |
| Provider Name | Robert Eugene Kline |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477523223 PECOS PAC ID: 0648304899 Enrollment ID: I20100810000877 |
| Provider Name | Darshana D Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396064515 PECOS PAC ID: 6901922095 Enrollment ID: I20100927000410 |
| Provider Name | Nicole T Helton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265745558 PECOS PAC ID: 5294929436 Enrollment ID: I20101101001178 |
| Provider Name | Brian Matthew Fiddler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235293150 PECOS PAC ID: 3173718871 Enrollment ID: I20101108000782 |
| Provider Name | John Austin Godfrey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447316385 PECOS PAC ID: 3678768173 Enrollment ID: I20101110000503 |
| Provider Name | Scott D Allison |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528122439 PECOS PAC ID: 3971790254 Enrollment ID: I20101213000751 |
| Provider Name | Charles D Titus |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942295282 PECOS PAC ID: 4981630365 Enrollment ID: I20101228000307 |
| Provider Name | Katherine Lins Lopez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699852061 PECOS PAC ID: 2163611500 Enrollment ID: I20110114001012 |
| Provider Name | Dolores G Holland |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306987177 PECOS PAC ID: 8123232113 Enrollment ID: I20110121000281 |
| Provider Name | Lori K Obenauf |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669525119 PECOS PAC ID: 0345420444 Enrollment ID: I20110207000691 |
| Provider Name | Kiersten M Nelson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588829121 PECOS PAC ID: 7416137310 Enrollment ID: I20110210000086 |
| Provider Name | Scott K Hasty |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205991130 PECOS PAC ID: 0143402636 Enrollment ID: I20110304000015 |
| Provider Name | Gregg L Ossip |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528123460 PECOS PAC ID: 8527029271 Enrollment ID: I20110401000264 |
| Provider Name | Amanda Marie Dininger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780993402 PECOS PAC ID: 6901081389 Enrollment ID: I20110428000493 |
| Provider Name | Shilpa Vikas Shah |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336472661 PECOS PAC ID: 2264617356 Enrollment ID: I20110505000481 |
| Provider Name | Alison Atchison |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285921296 PECOS PAC ID: 6002084233 Enrollment ID: I20110714000214 |
| Provider Name | Elizabeth M Leburg |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659668978 PECOS PAC ID: 4284803123 Enrollment ID: I20110809000820 |
| Provider Name | Julie Weibert |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710036702 PECOS PAC ID: 1355376997 Enrollment ID: I20110818000757 |
| Provider Name | George D Taylor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023098589 PECOS PAC ID: 3779697222 Enrollment ID: I20111220000101 |
| Provider Name | Sunali M Sweet |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841344603 PECOS PAC ID: 3072789122 Enrollment ID: I20111221000190 |
| Provider Name | Margaret Mccalla-jackson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164465365 PECOS PAC ID: 0840311734 Enrollment ID: I20120113000004 |
| Provider Name | Heather L Cotter |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962610840 PECOS PAC ID: 0244328102 Enrollment ID: I20120326000644 |
| Provider Name | Abby L Butorac |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033471818 PECOS PAC ID: 7012165723 Enrollment ID: I20120920000597 |
| Provider Name | Geoff S Butorac |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366798100 PECOS PAC ID: 8022261064 Enrollment ID: I20121226000420 |
| Provider Name | John D Coalter |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942306311 PECOS PAC ID: 9335177682 Enrollment ID: I20121227000410 |
| Provider Name | Benjamin Crider |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215375480 PECOS PAC ID: 9133362361 Enrollment ID: I20130906000687 |
| Provider Name | Amy L Petkus |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750729869 PECOS PAC ID: 1658515515 Enrollment ID: I20130913000617 |
| Provider Name | Marc M Prieur |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487672937 PECOS PAC ID: 2961464771 Enrollment ID: I20140103001547 |
| Provider Name | Trevor Scott Keck |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124437496 PECOS PAC ID: 2163746280 Enrollment ID: I20150121000680 |
| Provider Name | Tamara Nicole Schwalbe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568758712 PECOS PAC ID: 4082883392 Enrollment ID: I20150306001231 |
| Provider Name | Nicholas Helderman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629450861 PECOS PAC ID: 0143533455 Enrollment ID: I20150715002309 |
| Provider Name | Matthew R Gifford |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124401773 PECOS PAC ID: 5597079905 Enrollment ID: I20150729009298 |
| Provider Name | Hannah Cater |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154707800 PECOS PAC ID: 6709193980 Enrollment ID: I20150921002247 |
| Provider Name | Amy Elizabeth Iddins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992173405 PECOS PAC ID: 7113219833 Enrollment ID: I20160715001458 |
| Provider Name | Thomas A Bassetto |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598211138 PECOS PAC ID: 6901181072 Enrollment ID: I20170403000990 |
| Provider Name | John Christopher Till |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932639929 PECOS PAC ID: 3274804695 Enrollment ID: I20170803002087 |
| Provider Name | Robert T Kocembo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730118878 PECOS PAC ID: 7214024009 Enrollment ID: I20170809001423 |
| Provider Name | Steven Ison |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083136030 PECOS PAC ID: 7416228226 Enrollment ID: I20170811001354 |
| Provider Name | Allison M Heaslip |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871015149 PECOS PAC ID: 7618248493 Enrollment ID: I20170814000974 |
| Provider Name | Andrea Risley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982126033 PECOS PAC ID: 8527333004 Enrollment ID: I20171010000425 |
| Provider Name | Paula J Gring |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023236882 PECOS PAC ID: 7719243336 Enrollment ID: I20171114001725 |
| Provider Name | Melissa Alane Lewis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700308988 PECOS PAC ID: 4688931652 Enrollment ID: I20171129001431 |
| Provider Name | Reham A Baghdady |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417404690 PECOS PAC ID: 5193088664 Enrollment ID: I20180416000212 |
| Provider Name | Orlando J Avena |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831641919 PECOS PAC ID: 1850665761 Enrollment ID: I20180725002933 |
| Provider Name | Shalin Zia |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992291306 PECOS PAC ID: 0941547616 Enrollment ID: I20190204001601 |
| Provider Name | Nathaniel Clark |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144712035 PECOS PAC ID: 5496093155 Enrollment ID: I20190205002766 |
| Provider Name | Jenna L Troiani |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326532193 PECOS PAC ID: 4385982040 Enrollment ID: I20190205002862 |
| Provider Name | Sean Streff |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912490665 PECOS PAC ID: 5799023958 Enrollment ID: I20190213001289 |
| Provider Name | Thao T Tran |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265990196 PECOS PAC ID: 1658611934 Enrollment ID: I20190323000063 |
| Provider Name | Miklos Balogh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245300060 PECOS PAC ID: 3375649031 Enrollment ID: I20190508003409 |
| Provider Name | Aida Haddad |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801380225 PECOS PAC ID: 1850634841 Enrollment ID: I20190514002692 |
| Provider Name | Emily Mangiaracina |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700314630 PECOS PAC ID: 8224371257 Enrollment ID: I20190515000756 |
| Provider Name | Olivia Rose Forthofer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356997993 PECOS PAC ID: 8628306503 Enrollment ID: I20190830001124 |
| Provider Name | Bradley Alexander Hiatt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083106991 PECOS PAC ID: 3577891464 Enrollment ID: I20190830001451 |
| Provider Name | Kimberly Esposito |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871013250 PECOS PAC ID: 6305111576 Enrollment ID: I20190927001071 |
| Provider Name | Nicholas Joseph Mccolley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104277920 PECOS PAC ID: 2860785326 Enrollment ID: I20191226001938 |
| Provider Name | Chelsea R Till |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306366232 PECOS PAC ID: 0143656561 Enrollment ID: I20200204000473 |
| Provider Name | Lauren Marie Paasch |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033742374 PECOS PAC ID: 6204264468 Enrollment ID: I20200322000039 |
| Provider Name | Anna Slemp |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699205898 PECOS PAC ID: 3678903218 Enrollment ID: I20200422000209 |
| Provider Name | Madalynn Dianne Bruckner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356792352 PECOS PAC ID: 8921429754 Enrollment ID: I20200603003249 |
| Provider Name | Bayley Marie Brunck |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013569243 PECOS PAC ID: 8921422635 Enrollment ID: I20200728000150 |
| Provider Name | Shannon Avena |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912459983 PECOS PAC ID: 0840579629 Enrollment ID: I20200805003093 |
| Provider Name | Sean Deak |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790898443 PECOS PAC ID: 1951728989 Enrollment ID: I20200904000548 |
| Provider Name | Tonya Kohler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568755361 PECOS PAC ID: 8527353614 Enrollment ID: I20210317002138 |
| Provider Name | Connor David Young |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003498296 PECOS PAC ID: 5294136719 Enrollment ID: I20210622001171 |
| Provider Name | Jenna Lee Wellen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174193924 PECOS PAC ID: 9537560669 Enrollment ID: I20210628001623 |
| Provider Name | Brendan Matthew Finley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801470562 PECOS PAC ID: 8224439187 Enrollment ID: I20210629002722 |
| Provider Name | Heather Elizabeth Sterrett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316517493 PECOS PAC ID: 2466853049 Enrollment ID: I20210702002022 |
| Provider Name | Madeline Hobbie |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528632866 PECOS PAC ID: 5496157562 Enrollment ID: I20210712003482 |
| Provider Name | Jeffrey Alan Vonseggern |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992795132 PECOS PAC ID: 7618943820 Enrollment ID: I20211001002940 |
| Provider Name | Jasmine April Li |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528639127 PECOS PAC ID: 7214326222 Enrollment ID: I20211112001731 |
| Provider Name | Ashley Marie Mcpherren |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275287799 PECOS PAC ID: 9931592839 Enrollment ID: I20220216001476 |
| Provider Name | Lindsey Nicholson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508511478 PECOS PAC ID: 9234523572 Enrollment ID: I20220302000615 |
| Provider Name | Emily Nicole Robinson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447996806 PECOS PAC ID: 3072995067 Enrollment ID: I20220808002988 |
| Provider Name | Syeda Nisma Ahmed |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710614144 PECOS PAC ID: 1052793973 Enrollment ID: I20220809000787 |
| Provider Name | Taylor Welsh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134866734 PECOS PAC ID: 0446633309 Enrollment ID: I20220810002919 |
| Provider Name | Alyssa Vanwerden |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083340947 PECOS PAC ID: 4688057995 Enrollment ID: I20220819000777 |
| Provider Name | Marwa Choucair |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578292462 PECOS PAC ID: 3375926447 Enrollment ID: I20220823001212 |
| Provider Name | Kayla Martin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467180257 PECOS PAC ID: 3678959434 Enrollment ID: I20220930001898 |
| Provider Name | Amandeep Kaur Brar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093436214 PECOS PAC ID: 0749645307 Enrollment ID: I20230503002884 |
| Provider Name | Olivia Elston |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194413443 PECOS PAC ID: 0042678542 Enrollment ID: I20230615000311 |
| Provider Name | Tamara Latinovic |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417648692 PECOS PAC ID: 0941668453 Enrollment ID: I20230615000780 |
| Provider Name | Vincent Maniscalco |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821781600 PECOS PAC ID: 9335509587 Enrollment ID: I20230719001782 |
| Provider Name | Lance Bennett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962871806 PECOS PAC ID: 1557721743 Enrollment ID: I20230719003532 |
| Provider Name | Bradley Habermehl |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356375463 PECOS PAC ID: 2365443314 Enrollment ID: I20231121000865 |
| Provider Name | Leann Goslak |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205915451 PECOS PAC ID: 0840473484 Enrollment ID: I20240304001897 |
| Provider Name | Robert Sharek |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255445912 PECOS PAC ID: 2365745114 Enrollment ID: I20240319001501 |
| Provider Name | Brian Montgomery |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568516458 PECOS PAC ID: 6204101454 Enrollment ID: I20240325001597 |
| Provider Name | Venessa Stinvil |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285670588 PECOS PAC ID: 1456254259 Enrollment ID: I20240403000423 |
| Provider Name | Lisa Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699495937 PECOS PAC ID: 9638523806 Enrollment ID: I20240406000289 |
| Provider Name | Alberta Dagobert |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982197687 PECOS PAC ID: 8123427325 Enrollment ID: I20240422001382 |
| Provider Name | Denis Holmes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114913589 PECOS PAC ID: 3173652856 Enrollment ID: I20240429002802 |
| Provider Name | Deanna Ippolito |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225683121 PECOS PAC ID: 8426388257 Enrollment ID: I20240507003502 |
| Mailing Address | Practice Location Address |
|---|---|
| Myeyedr. 8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442 Ph: (703) 847-8899 | Myeyedr. 2705 N Lebanon St Ste 230, Lebanon, IN 46052-8627 Ph: (765) 482-2066 |
Dr. Brian Charles Swift, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 2440 N Lebanon St, Lebanon, IN 46052 Phone: 765-482-3766 | |
Dr. Lacy Ann Boggs, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 112 W Washington St, Ste 101, Lebanon, IN 46052 Phone: 765-484-8247 Fax: 765-484-8253 | |
Lacy Moser Boggs, Od, Inc Optometrist Medicare: Medicare Enrolled Practice Location: 112 W Washington St, Suite 101, Lebanon, IN 46052 Phone: 317-385-1230 | |
Dr. Brandon Nicholas Terry, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1202 N Lebanon St, Lebanon, IN 46052 Phone: 765-482-1420 Fax: 765-482-1461 | |
Hall Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1202 N Lebanon St, Lebanon, IN 46052 Phone: 765-482-1420 Fax: 765-482-1461 | |
Dr. Michael Brayton Stewart, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 117 E Main St, Lebanon, IN 46052 Phone: 765-484-8182 |