| Professional Vision Services Llc | |
|
101 Clinton St Ste 1000, Defiance, OH 43512-2165 | |
| (419) 782-4831 | |
| Not Available |
| Full Name | Professional Vision Services Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 101 Clinton St Ste 1000, Defiance, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528289659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Jeffrey C Fogt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427041342 PECOS PAC ID: 8729032743 Enrollment ID: I20050422000688 |
| Provider Name | Darryl Mathewson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952391278 PECOS PAC ID: 7012044803 Enrollment ID: I20100428000023 |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Vision Services Llc 101 Clinton St Ste 1000, Defiance, OH 43512-2165 Ph: (419) 782-4831 | Professional Vision Services Llc 101 Clinton St Ste 1000, Defiance, OH 43512-2165 Ph: (419) 782-4831 |
Thomas E Sandy, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 800 N Clinton St, Suite D, Defiance, OH 43512 Phone: 419-782-1901 Fax: 419-782-2200 | |
Daniel L Meffley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 800 N Clinton St, Suite, Defiance, OH 43512 Phone: 419-782-9082 Fax: 419-782-2200 | |
Brunswick Eye And Contact Lens Center, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 283 Stadium Dr, Defiance, OH 43512 Phone: 419-782-3937 | |
Drs. Meffley, Sandy And Stein Optometrist Medicare: Medicare Enrolled Practice Location: 800 N Clinton St, Suite D, Defiance, OH 43512 Phone: 419-782-1901 Fax: 419-782-2200 | |
Dr. Amy J Brunswick, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 283 Stadium Dr, Defiance, OH 43512 Phone: 419-782-3937 Fax: 419-782-3930 | |
Dr. Heidi Lynn Lacey, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 283 Stadium Dr, Defiance, OH 43512 Phone: 419-782-3937 Fax: 419-782-3930 | |
Dr. Jeffrey Clay Fogt, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 101 Clinton St, Ste 1000, Defiance, OH 43512 Phone: 419-782-4831 Fax: 419-784-0197 |