| Logan Eye Care Center | |
|
105 Robins Way, Suite 206, Russellville, KY 42276-1129 | |
| (270) 726-2022 | |
| Not Available |
| Full Name | Logan Eye Care Center |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 105 Robins Way, Russellville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619109147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1770DT (Kentucky) | Primary |
| Provider Name | Thad Dustin Wells |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467681395 PECOS PAC ID: 0840345609 Enrollment ID: I20090831000137 |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Eye Care Center 105 Robins Way, Suite 206, Russellville, KY 42276-1129 Ph: (270) 726-2022 | Logan Eye Care Center 105 Robins Way, Suite 206, Russellville, KY 42276-1129 Ph: (270) 726-2022 |
Barrow Eye Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 709 East 4th St, Russellville, KY 42276 Phone: 270-725-8382 Fax: 270-725-9666 | |
Barrow Eye Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 709 E 4th St, Russellville, KY 42276 Phone: 270-725-8382 Fax: 270-725-9666 | |
Anna Faye Stanley Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 120 Sam Walton Dr, Vision Center, Russellville, KY 42276 Phone: 270-726-8283 | |
Dr. Anna Faye Stanley, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 120 Sam Walton Dr, Russellville, KY 42276 Phone: 270-726-8283 Fax: 270-726-9842 | |
Dr. Darla Sherrod Barrow, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 709 East 4th Street, Russellville, KY 42276 Phone: 270-725-8382 Fax: 270-725-9666 | |
Dr. Thad Dustin Wells, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 105 Robins Way, Suite 206, Russellville, KY 42276 Phone: 270-726-2022 Fax: 270-726-2035 | |
Martin J Jensen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 105 Robins Way, Suite 206, Russellville, KY 42276 Phone: 270-726-2022 Fax: 270-726-2035 |