| Edgewood Eye Center | |
|
581 Dudley Rd., Edgewood, KY 41017-3296 | |
| (859) 341-0888 | |
| (859) 341-3386 |
| Full Name | Edgewood Eye Center |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 581 Dudley Rd., Edgewood, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821268392 | NPI | - | NPPES |
| 000000049502 | Other | KY | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1134DT (Kentucky) | Primary |
| 152WV0400X | Optometrist - Vision Therapy | 1134DT (Kentucky) | Secondary |
| Provider Name | Carol L Deitz-bertke |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538158860 PECOS PAC ID: 1254329352 Enrollment ID: I20060206000414 |
| Provider Name | Ian M Carr |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104017847 PECOS PAC ID: 0244327096 Enrollment ID: I20140813000932 |
| Provider Name | Corey Thomas Leach |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427658921 PECOS PAC ID: 4082027230 Enrollment ID: I20210106002280 |
| Provider Name | Christopher Jordan Bertke |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528652831 PECOS PAC ID: 8022425354 Enrollment ID: I20210401001456 |
| Mailing Address | Practice Location Address |
|---|---|
| Edgewood Eye Center 581 Dudley Rd., Edgewood, KY 41017-3296 Ph: (859) 341-0888 | Edgewood Eye Center 581 Dudley Rd., Edgewood, KY 41017-3296 Ph: (859) 341-0888 |
Erin Rolfes, OD, MS Optometrist Medicare: Accepting Medicare Assignments Practice Location: 580 S Loop Rd, Edgewood, KY 41017 Phone: 859-331-9000 | |
Dr. Emily R Shull, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 580 S Loop Rd, Suite 200, Edgewood, KY 41017 Phone: 859-331-9000 Fax: 859-331-9040 | |
Ian M. Carr, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 581 Dudley Pike, Edgewood, KY 41017 Phone: 859-341-0888 Fax: 859-341-3386 | |
Dr. Sarah Rachel Travis, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 581 Dudley Pike, Edgewood, KY 41017 Phone: 859-341-0888 | |
Dr. Christopher Jordan Bertke, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 581 Dudley Pike, Edgewood, KY 41017 Phone: 859-341-0888 | |
Carol Deitz-bertke, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 581 Dudley Pike, Edgewood, KY 41017 Phone: 859-341-0888 Fax: 859-341-3386 |