Professional Visioncare, Inc | |
703 W Coshocton St, Johnstown, OH 43031-9581 | |
(740) 967-2936 | |
Not Available |
Full Name | Professional Visioncare, Inc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 703 W Coshocton St, Johnstown, Ohio |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053439125 | NPI | - | NPPES |
2507675 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Stacy L Stutler |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1073512562 PECOS PAC ID: 9537137617 Enrollment ID: I20040917000555 |
Provider Name | Kyla S Cologgi |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1760501399 PECOS PAC ID: 6103880570 Enrollment ID: I20041117000389 |
Provider Name | Kristyne E Edwards |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1144346719 PECOS PAC ID: 0042274128 Enrollment ID: I20041118000040 |
Provider Name | Amy R Lay |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1427174606 PECOS PAC ID: 8123082203 Enrollment ID: I20041118000045 |
Provider Name | William G Lay |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1902922560 PECOS PAC ID: 7113981291 Enrollment ID: I20041118000055 |
Provider Name | Carole R Burns |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1891811014 PECOS PAC ID: 3173587557 Enrollment ID: I20041118000083 |
Provider Name | Bradley J Johnson |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1821254194 PECOS PAC ID: 3779623541 Enrollment ID: I20091229000692 |
Provider Name | Joseph Razzano |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1760898233 PECOS PAC ID: 0244554400 Enrollment ID: I20150115002254 |
Provider Name | Megan Taylor |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1124409636 PECOS PAC ID: 5597047639 Enrollment ID: I20170124003247 |
Provider Name | Kate A Mcclure |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1841648672 PECOS PAC ID: 9032482682 Enrollment ID: I20170905000441 |
Provider Name | Kimberly R Patton |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1689165565 PECOS PAC ID: 6608128558 Enrollment ID: I20181004001510 |
Provider Name | Rebecca C Windham |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1760960264 PECOS PAC ID: 9830432475 Enrollment ID: I20190522000926 |
Provider Name | Jennifer M Aschenbener |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1891337192 PECOS PAC ID: 5092147207 Enrollment ID: I20191108001469 |
Provider Name | Zachary A Keesee |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1629652961 PECOS PAC ID: 3577962919 Enrollment ID: I20210604000724 |
Provider Name | Derek Eibon |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1295473692 PECOS PAC ID: 8325428469 Enrollment ID: I20220706003354 |
Provider Name | Madison Lynn Roth |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1902599418 PECOS PAC ID: 2062870470 Enrollment ID: I20230616001082 |
Provider Name | Jennifer R Steineman |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1710471008 PECOS PAC ID: 9335509017 Enrollment ID: I20230712003939 |
Mailing Address | Practice Location Address |
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Professional Visioncare, Inc 703 W Coshocton St, Johnstown, OH 43031-9581 Ph: () - | Professional Visioncare, Inc 703 W Coshocton St, Johnstown, OH 43031-9581 Ph: (740) 967-2936 |
Mark Wright, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 703 W Coshocton St, Johnstown, OH 43031 Phone: 740-967-2936 Fax: 740-967-1153 |