| The Fairborn Vision Center | |
|
1790 Commerce Center Blvd, Fairborn, OH 45324-6358 | |
| (937) 878-3941 | |
| Not Available |
| Full Name | The Fairborn Vision Center |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1790 Commerce Center Blvd, Fairborn, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417034133 | NPI | - | NPPES |
| 2221956 | Medicaid | OH | |
| 0887849 | Medicaid | OH | |
| 0311200 | Medicaid | OH | |
| 0898560 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Steven W Shroder |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477605293 PECOS PAC ID: 3971580945 Enrollment ID: I20091215000046 |
| Provider Name | Elizabeth Snyder |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104978196 PECOS PAC ID: 4486798477 Enrollment ID: I20100215000052 |
| Mailing Address | Practice Location Address |
|---|---|
| The Fairborn Vision Center 1790 Commerce Center Blvd, Fairborn, OH 45324-6358 Ph: () - | The Fairborn Vision Center 1790 Commerce Center Blvd, Fairborn, OH 45324-6358 Ph: (937) 878-3941 |
Dr. Jerry L Neely, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1790 Commerce Center Blvd, Fairborn, OH 45324 Phone: 937-878-3941 Fax: 937-878-3525 | |
Dr. Elizabeth A Snyder, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1790 Commerce Center Blvd, Fairborn, OH 45324 Phone: 937-878-3941 Fax: 937-878-3525 | |
Dr. Steven W Shroder, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1790 Commerce Center Blvd, Fairborn, OH 45324 Phone: 937-878-3941 Fax: 937-878-3525 | |
Dapore Vision Care Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1877 S Maple Ave, Suite 100, Fairborn, OH 45324 Phone: 937-878-8800 Fax: 937-878-8802 |