| Bridgeport Eyecare Llc | |
|
100 3rd St, Bridgeport, OH 43912-1605 | |
| (740) 635-2020 | |
| Not Available |
| Full Name | Bridgeport Eyecare Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 100 3rd St, Bridgeport, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568318897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| 152WC0802X | Optometrist - Corneal And Contact Management | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgeport Eyecare Llc 100 3rd St, Bridgeport, OH 43912-1605 Ph: () - | Bridgeport Eyecare Llc 100 3rd St, Bridgeport, OH 43912-1605 Ph: (740) 635-2020 |
Leon Francis Favede, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 100 3rd St, Bridgeport, OH 43912 Phone: 740-635-0814 Fax: 740-635-2521 | |
Leon Michael Favede, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 100 3rd St, Bridgeport, OH 43912 Phone: 740-635-0814 Fax: 740-635-2521 | |
Drs. Favede & Associates Optometrist Medicare: Medicare Enrolled Practice Location: 100 Third Street, Bridgeport, OH 43912 Phone: 740-635-0814 Fax: 740-635-2521 |