| Vison Source Of Bowling Green | |
|
335 New Towne Rd, Bowling Green, KY 42103-7966 | |
| (270) 842-0383 | |
| (270) 842-0485 |
| Full Name | Vison Source Of Bowling Green |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 335 New Towne Rd, Bowling Green, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841331691 | NPI | - | NPPES |
| 7100253310 | Medicaid | KY | |
| 06622 | Other | KY | SPECTERA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| 332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
| Provider Name | Joseph C Tucker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679534457 PECOS PAC ID: 4880615137 Enrollment ID: I20051214000330 |
| Provider Name | John W Jeskie |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629124250 PECOS PAC ID: 2264592302 Enrollment ID: I20100820000595 |
| Provider Name | John N Breiwa |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659392207 PECOS PAC ID: 0446319131 Enrollment ID: I20100820000739 |
| Provider Name | Laura E Compton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366979528 PECOS PAC ID: 9133492184 Enrollment ID: I20180112002374 |
| Provider Name | Kelsey K Newcome |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043872914 PECOS PAC ID: 5193056927 Enrollment ID: I20191009002413 |
| Mailing Address | Practice Location Address |
|---|---|
| Vison Source Of Bowling Green P.o. Box 5000, 335 New Towne Drive, Bowling Green, KY 42103-7966 Ph: (270) 842-0383 | Vison Source Of Bowling Green 335 New Towne Rd, Bowling Green, KY 42103-7966 Ph: (270) 842-0383 |
Dr. Lowell Charles Ware, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 952 Fairview Ave, Bowling Green, KY 42101 Phone: 270-781-2220 Fax: 270-781-2155 | |
Dr. Laura Lee Bowling, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2608 Scottsville Road, Bowling Green, KY 42103 Phone: 270-782-2025 | |
Dr. Trina Rena Warden, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1256 Campbell Ln, Suite 106, Bowling Green, KY 42104 Phone: 270-796-6021 Fax: 270-796-6072 | |
Allison J Kerr, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1256 Campbell Ln, #106, Bowling Green, KY 42104 Phone: 270-796-6021 | |
Joe C. Tucker, O.d., P.c.s Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1220 Ashley Cir, Bowling Green, KY 42104 Phone: 270-843-3904 Fax: 270-781-4015 | |
Dr. Russell King Heltsley Iii, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2425 Scottsville Rd, Suite #114, Bowling Green, KY 42104 Phone: 270-846-2500 Fax: 270-846-0608 | |
Barrett Simpson, O.d. Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3200 Ken Bale Blvd, Bowling Green, KY 42103 Phone: 270-793-0958 Fax: 270-781-7933 |