| John Russell Kroger, MD | |
|
1462 Marion Waldo Rd, Marion, OH 43302-7422 | |
| (740) 389-5418 | |
| (740) 389-5410 |
| Full Name | John Russell Kroger |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 1462 Marion Waldo Rd, Marion, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740712785 | NPI | - | NPPES |
| 0442188 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 35141469 (Ohio) | Primary |
| Entity Name | Marion Eye Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255307237 PECOS PAC ID: 6709819964 Enrollment ID: O20050916000990 |
| Mailing Address | Practice Location Address |
|---|---|
| John Russell Kroger, MD 700 Ackerman Rd Ste 2120, Columbus, OH 43202-1559 Ph: (614) 293-8116 | John Russell Kroger, MD 1462 Marion Waldo Rd, Marion, OH 43302-7422 Ph: (740) 389-5418 |
Gary D Burton, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 1040 Delaware Avenue, Marion, OH 43301 Phone: 740-383-8050 Fax: 740-383-7084 | |
Deanna Jende Stevens, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1462 Marion Waldo Rd, Marion, OH 43302 Phone: 740-389-5418 Fax: 740-389-5410 | |
Steven Michael Kirkham, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1462 Marion Waldo Rd, Marion, OH 43302 Phone: 740-389-5418 Fax: 740-389-5410 | |
John Charles Garvin, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 1040 Delaware Avenue, Marion, OH 43301 Phone: 740-383-8050 Fax: 740-383-7942 | |
Dr. Nicholas Moore, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1462 Marion Waldo Rd, Marion, OH 43302 Phone: 740-389-5418 Fax: 740-389-5410 | |
Filmore Alteros Riego, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1462 Marion Waldo Rd, Marion, OH 43302 Phone: 740-389-5418 Fax: 740-389-5410 |