| Glandorf Vision Group Inc. | |
|
102 Dr Thatye Drive, Glandorf, OH 45848-0020 | |
| (419) 538-6273 | |
| (419) 538-7273 |
| Full Name | Glandorf Vision Group Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 102 Dr Thatye Drive, Glandorf, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457406696 | NPI | - | NPPES |
| 30140272400 | Other | OH | BWC |
| 410037333 | Other | OH | RAILROAD MEDICARE |
| 000000140764 | Other | OH | ANTHEM BCBS |
| 0179266 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2916 (Ohio) | Primary |
| Provider Name | Jesselyn E Michaud |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437531050 PECOS PAC ID: 6406168905 Enrollment ID: I20150710001600 |
| Provider Name | Lindsey Kremer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396115606 PECOS PAC ID: 6204114424 Enrollment ID: I20190607001877 |
| Mailing Address | Practice Location Address |
|---|---|
| Glandorf Vision Group Inc. Po Box 20, Glandorf, OH 45848-0020 Ph: (419) 538-6273 | Glandorf Vision Group Inc. 102 Dr Thatye Drive, Glandorf, OH 45848-0020 Ph: (419) 538-6273 |
Dr. Jesselyn Elizabeth Michaud, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 102 Doctor Thatye Drive, Glandorf, OH 45848 Phone: 419-538-6273 | |
Abigail Hilvers, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 102 Dr Thatye Drive, Glandorf, OH 45848 Phone: 419-538-6273 |