Village Vision Center, Inc. | |
107 S Main St, Ada, OH 45810-1240 | |
(419) 634-2921 | |
(419) 634-9858 |
Full Name | Village Vision Center, Inc. |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 107 S Main St, Ada, Ohio |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730378373 | NPI | - | NPPES |
055775 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3756T705 (Ohio) | Primary |
Provider Name | Duane L Wires |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1427040633 PECOS PAC ID: 0345154100 Enrollment ID: I20031117000082 |
Provider Name | Liane M Wilt |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1780722389 PECOS PAC ID: 2163419474 Enrollment ID: I20040428001253 |
Provider Name | Sarah A Wildermuth |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1003297441 PECOS PAC ID: 0648585117 Enrollment ID: I20150812007850 |
Provider Name | Justin A Moyer |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1023485158 PECOS PAC ID: 4880962257 Enrollment ID: I20170608001093 |
Provider Name | Whitney D Spitnale |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1821654542 PECOS PAC ID: 2365775087 Enrollment ID: I20190612002782 |
Mailing Address | Practice Location Address |
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Village Vision Center, Inc. 107 S Main St, Ada, OH 45810-1240 Ph: (419) 634-2921 | Village Vision Center, Inc. 107 S Main St, Ada, OH 45810-1240 Ph: (419) 634-2921 |
Dr. Duane L Wires, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 107 S Main St, Ada, OH 45810 Phone: 419-634-2921 Fax: 419-634-9858 | |
Mrs. Liane Marie Wilt, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 107 S Main St, Ada, OH 45810 Phone: 419-634-2921 Fax: 419-634-9858 |