Lorraine Myers Provencher, MD | |
1945 Cei Dr, Blue Ash, OH 45242-5664 | |
(513) 984-5133 | |
(513) 569-3941 |
Full Name | Lorraine Myers Provencher |
---|---|
Gender | Female |
Speciality | Ophthalmology |
Experience | 10 Years |
Location | 1945 Cei Dr, Blue Ash, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174935910 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | R-09990 (Iowa) | Secondary |
207W00000X | Ophthalmology | 4301114340 (Michigan) | Secondary |
207W00000X | Ophthalmology | 35135901 (Ohio) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vance Thompson Vision Clinic Prof Llc | 1153567441 | 35 |
Entity Name | Vance Thompson Vision Clinic Prof Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205193554 PECOS PAC ID: 1153567441 Enrollment ID: O20201204000096 |
Mailing Address | Practice Location Address |
---|---|
Lorraine Myers Provencher, MD 3621 S State St, Ann Arbor, MI 48108-1633 Ph: (734) 647-5299 | Lorraine Myers Provencher, MD 1945 Cei Dr, Blue Ash, OH 45242-5664 Ph: (513) 984-5133 |
Robert Joseph Goulet Iii, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1945 Cei Dr, Blue Ash, OH 45242 Phone: 513-984-5133 Fax: 513-569-3941 | |
Cynthia K Mcclard, MD PHD Ophthalmology Medicare: Medicare Enrolled Practice Location: 1945 Cei Drive, Blue Ash, OH 45242 Phone: 513-984-5133 | |
Dr. Daniel Peretz, MD, MBA Ophthalmology Medicare: Medicare Enrolled Practice Location: 1945 Cei Dr, Blue Ash, OH 45242 Phone: 513-654-2524 | |
Colby Argo, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 1945 Cei Dr, Blue Ash, OH 45242 Phone: 513-654-2299 | |
Dr. Eric Williams, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1945 Cei Dr, Blue Ash, OH 45242 Phone: 513-984-5133 | |
Dr. Lisa Diane Kelly, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1945 Cei Dr, Blue Ash, OH 45242 Phone: 513-569-3741 Fax: 513-569-3941 |