| Madison Eye Care Of Port Clinton Llc | |
|
820 Jefferson St, Port Clinton, OH 43452-2416 | |
| (419) 732-2828 | |
| Not Available |
| Full Name | Madison Eye Care Of Port Clinton Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 820 Jefferson St, Port Clinton, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427748243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Peter V Mogyordy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043203078 PECOS PAC ID: 3173413283 Enrollment ID: I20080609000841 |
| Provider Name | Sue E Vandootingh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366518045 PECOS PAC ID: 4284791989 Enrollment ID: I20090325000186 |
| Provider Name | Norma J Jesse |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982786604 PECOS PAC ID: 6204951122 Enrollment ID: I20100916000074 |
| Provider Name | Kyle A Koubek |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629546668 PECOS PAC ID: 7618212788 Enrollment ID: I20181218000773 |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Eye Care Of Port Clinton Llc 26927 Detroit Rd, Westlake, OH 44145-2370 Ph: (440) 892-5367 | Madison Eye Care Of Port Clinton Llc 820 Jefferson St, Port Clinton, OH 43452-2416 Ph: (419) 732-2828 |
Dr. Emmett Cleary, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2826 E Harbor Rd, Port Clinton, OH 43452 Phone: 419-734-7995 | |
David H George, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 222 Jefferson St, Port Clinton, Port Clinton, OH 43452 Phone: 419-734-2106 Fax: 419-734-3792 | |
Dr. Sue Ellen Van Dootingh, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 820 Jefferson St, Port Clinton, OH 43452 Phone: 419-732-2828 | |
Jennifer S Felbinger, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 222 Jefferson St, Port Clinton, OH 43452 Phone: 419-734-2106 Fax: 419-734-3792 | |
Lake Erie Family Eyecare Llc Optometrist Medicare: Medicare Enrolled Practice Location: 222 Jefferson St, Port Clinton, OH 43452 Phone: 419-734-2106 Fax: 419-734-3792 |