| Stahl Vision Inc | |
|
4235 Indian Ripple Rd, Ste 100, Beavercreek, OH 45440-3247 | |
| (937) 427-2020 | |
| (937) 429-1166 |
| Full Name | Stahl Vision Inc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 4235 Indian Ripple Rd, Beavercreek, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952354136 | NPI | - | NPPES |
| 2150185 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | Brian R Stahl |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942202700 PECOS PAC ID: 4385549070 Enrollment ID: I20031209000273 |
| Provider Name | Richard A Fenton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841249679 PECOS PAC ID: 3779554167 Enrollment ID: I20040801000003 |
| Provider Name | James R Knowles |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1053306001 PECOS PAC ID: 7719914704 Enrollment ID: I20050721000193 |
| Provider Name | Rachael R White |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346449063 PECOS PAC ID: 3870688146 Enrollment ID: I20071002000043 |
| Provider Name | Ashley J Coppess |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841571262 PECOS PAC ID: 4789831330 Enrollment ID: I20120920000479 |
| Provider Name | John F Gillis |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1083970628 PECOS PAC ID: 8729411475 Enrollment ID: I20220711000383 |
| Mailing Address | Practice Location Address |
|---|---|
| Stahl Vision Inc 4235 Indian Ripple Rd, Ste 100, Beavercreek, OH 45440-3247 Ph: (937) 427-2020 | Stahl Vision Inc 4235 Indian Ripple Rd, Ste 100, Beavercreek, OH 45440-3247 Ph: (937) 427-2020 |