| Clarkson Eyecare | |
|
5283 Cornerstone North Blvd, Centerville, OH 45440-2270 | |
| (937) 848-6601 | |
| Not Available |
| Full Name | Clarkson Eyecare |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 5283 Cornerstone North Blvd, Centerville, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073917597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1457DT (Ohio) | Primary |
| Provider Name | Tricia M Burroughs |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851314108 PECOS PAC ID: 4385625359 Enrollment ID: I20040526000413 |
| Provider Name | Christopher Jordan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104848951 PECOS PAC ID: 7719968700 Enrollment ID: I20040526000514 |
| Provider Name | Gregory L Coburn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790704849 PECOS PAC ID: 3274517677 Enrollment ID: I20040615000077 |
| Provider Name | Mark A Kuhlman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174621437 PECOS PAC ID: 8921082330 Enrollment ID: I20040615000135 |
| Provider Name | Craig Miller |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134133606 PECOS PAC ID: 4789657347 Enrollment ID: I20040813000070 |
| Provider Name | Jessica Anne Simon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790785285 PECOS PAC ID: 7911971403 Enrollment ID: I20040820000877 |
| Provider Name | Scott Seidel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083675664 PECOS PAC ID: 9032176888 Enrollment ID: I20041214000517 |
| Provider Name | Russell S Fillmore |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306860754 PECOS PAC ID: 7618925116 Enrollment ID: I20050112000225 |
| Provider Name | David Dickson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568443026 PECOS PAC ID: 2961459789 Enrollment ID: I20050405000039 |
| Provider Name | Robert F Koerner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184605180 PECOS PAC ID: 4688621402 Enrollment ID: I20050405000053 |
| Provider Name | David J Sterna |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992870265 PECOS PAC ID: 6800843186 Enrollment ID: I20050407001348 |
| Provider Name | Jason K Winterbottom |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114901568 PECOS PAC ID: 9133185184 Enrollment ID: I20050607001328 |
| Provider Name | Amy R Keller |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861494643 PECOS PAC ID: 2466488267 Enrollment ID: I20050713000391 |
| Provider Name | Steven J Curtis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841221447 PECOS PAC ID: 5890729057 Enrollment ID: I20050928000004 |
| Provider Name | Elizabeth Hardin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831255207 PECOS PAC ID: 3476570946 Enrollment ID: I20051025000429 |
| Provider Name | Kathy R Gonzalez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174551543 PECOS PAC ID: 3678570736 Enrollment ID: I20061102000243 |
| Provider Name | Michael P Gilliland |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528038825 PECOS PAC ID: 8921005976 Enrollment ID: I20061103000484 |
| Provider Name | Donald A Kammer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831256908 PECOS PAC ID: 1557463312 Enrollment ID: I20070226000046 |
| Provider Name | Holly W Riggs |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245425438 PECOS PAC ID: 8527154376 Enrollment ID: I20071010000233 |
| Provider Name | Richard Rosenthal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952468605 PECOS PAC ID: 6406945179 Enrollment ID: I20071203000568 |
| Provider Name | Jana L Rhodes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013116581 PECOS PAC ID: 5193814788 Enrollment ID: I20071204000909 |
| Provider Name | Chad Mckinney |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407944812 PECOS PAC ID: 9335204874 Enrollment ID: I20090216000522 |
| Provider Name | Matthew James Muroski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952492043 PECOS PAC ID: 3971694613 Enrollment ID: I20090328000025 |
| Provider Name | Joseph F Chatfield |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023115938 PECOS PAC ID: 3375577745 Enrollment ID: I20090514000147 |
| Provider Name | Lauren R Eder |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962659995 PECOS PAC ID: 5799839593 Enrollment ID: I20090813000139 |
| Provider Name | Larry A Hookway |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710988076 PECOS PAC ID: 9335294297 Enrollment ID: I20090831000001 |
| Provider Name | Diana W Gilbert |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003816950 PECOS PAC ID: 4385684505 Enrollment ID: I20091002000392 |
| Provider Name | Jonathan M Schonfeld |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689676645 PECOS PAC ID: 3779593645 Enrollment ID: I20100129000096 |
| Provider Name | James Oatney |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609839943 PECOS PAC ID: 7012044928 Enrollment ID: I20100426000301 |
| Provider Name | Andrew James Gunn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730196577 PECOS PAC ID: 3173651213 Enrollment ID: I20100511000001 |
| Provider Name | Santosh Nuchikat |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346270030 PECOS PAC ID: 6406985803 Enrollment ID: I20100524000438 |
| Provider Name | Richard S Deutch |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780612051 PECOS PAC ID: 1951430305 Enrollment ID: I20100525000012 |
| Provider Name | Jaclyn Marie Paskiet |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245469154 PECOS PAC ID: 5698808178 Enrollment ID: I20100804000713 |
| Provider Name | Melissa S Kerby |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659407989 PECOS PAC ID: 6103848676 Enrollment ID: I20100805000096 |
| Provider Name | Melanie J Ballard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700018520 PECOS PAC ID: 1658495254 Enrollment ID: I20100903000332 |
| Provider Name | George W. Reed |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417941378 PECOS PAC ID: 3779692694 Enrollment ID: I20101026001152 |
| Provider Name | Samuel L Reiss |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801865936 PECOS PAC ID: 1759384944 Enrollment ID: I20101029000022 |
| Provider Name | Jerome Sude |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982607727 PECOS PAC ID: 4385824929 Enrollment ID: I20110214000710 |
| Provider Name | David William Zehnder |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518940485 PECOS PAC ID: 5991739864 Enrollment ID: I20110224000012 |
| Provider Name | Mark H Rinkov |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720007875 PECOS PAC ID: 6800877879 Enrollment ID: I20110321000066 |
| Provider Name | Jeffrey S Gardner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407901556 PECOS PAC ID: 4688857212 Enrollment ID: I20110321000120 |
| Provider Name | Allyson M Kowaleski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811221518 PECOS PAC ID: 0042493694 Enrollment ID: I20110321000254 |
| Provider Name | Michael Rader |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134299704 PECOS PAC ID: 2264547629 Enrollment ID: I20110609000832 |
| Provider Name | Jennifer J Brandon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962790055 PECOS PAC ID: 5496924243 Enrollment ID: I20110811000508 |
| Provider Name | Dustin J Gardner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366720922 PECOS PAC ID: 8123290285 Enrollment ID: I20111013000577 |
| Provider Name | Bert Pederzol |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649338112 PECOS PAC ID: 1254446651 Enrollment ID: I20111114000702 |
| Provider Name | Robert E Woodruff |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194729533 PECOS PAC ID: 4981643178 Enrollment ID: I20111203000046 |
| Provider Name | Daniel Thomas Soderberg |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245527654 PECOS PAC ID: 3870768427 Enrollment ID: I20111208000699 |
| Provider Name | Carl Cefalu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851371439 PECOS PAC ID: 5092898601 Enrollment ID: I20111219000379 |
| Provider Name | Jeffrey E Schultz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437153129 PECOS PAC ID: 7618997156 Enrollment ID: I20111227000513 |
| Provider Name | Mark Fenton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144280934 PECOS PAC ID: 1456466903 Enrollment ID: I20120402000553 |
| Provider Name | Adam Joseph Fannin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043567332 PECOS PAC ID: 8022260397 Enrollment ID: I20121212000589 |
| Provider Name | Seema Lengade |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790035103 PECOS PAC ID: 2264670827 Enrollment ID: I20130521000711 |
| Provider Name | Bridget I Fath |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245224476 PECOS PAC ID: 4486883691 Enrollment ID: I20140211001360 |
| Provider Name | Jordan Todd Bierman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184039646 PECOS PAC ID: 2163643743 Enrollment ID: I20141023001884 |
| Provider Name | Jennifer Center |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558702241 PECOS PAC ID: 0345462107 Enrollment ID: I20141111000378 |
| Provider Name | Alfred J Sugawara |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780724823 PECOS PAC ID: 5991029464 Enrollment ID: I20150112001315 |
| Provider Name | Jeffrey D. Cole |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952715369 PECOS PAC ID: 0244557874 Enrollment ID: I20150324000976 |
| Provider Name | Brianne R Galloway |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184039844 PECOS PAC ID: 2365769650 Enrollment ID: I20150325002159 |
| Provider Name | Alyssa Beth Donahue |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497136873 PECOS PAC ID: 7113239856 Enrollment ID: I20150708002907 |
| Provider Name | Megan Werling |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003282856 PECOS PAC ID: 7911213509 Enrollment ID: I20150827000455 |
| Provider Name | Matthew Vincent Howell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003244708 PECOS PAC ID: 4385960244 Enrollment ID: I20150910002594 |
| Provider Name | Julie Evans |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245616101 PECOS PAC ID: 6901113547 Enrollment ID: I20150915002512 |
| Provider Name | Karina D Lanning |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720431760 PECOS PAC ID: 3779878657 Enrollment ID: I20160817002353 |
| Provider Name | Lindsey Renae Wilson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033568159 PECOS PAC ID: 8921394206 Enrollment ID: I20160913001445 |
| Provider Name | Megan Fisher |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902258015 PECOS PAC ID: 7113215526 Enrollment ID: I20161017002724 |
| Provider Name | Andrew R Fisher |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407204282 PECOS PAC ID: 4880972934 Enrollment ID: I20161025001929 |
| Provider Name | Jillian E Zimmer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548646524 PECOS PAC ID: 6507144110 Enrollment ID: I20161102002437 |
| Provider Name | Michelle Glass |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497137970 PECOS PAC ID: 0749569127 Enrollment ID: I20161108002276 |
| Provider Name | Noorina Ali Zaidi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023477262 PECOS PAC ID: 8224318175 Enrollment ID: I20161209002013 |
| Provider Name | Dana Griesmer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417308388 PECOS PAC ID: 6103108568 Enrollment ID: I20170119000483 |
| Provider Name | Meredith R Kiess |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316395874 PECOS PAC ID: 6709813009 Enrollment ID: I20170216002141 |
| Provider Name | Meagan M Mahoney |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902334949 PECOS PAC ID: 4385913326 Enrollment ID: I20170706001385 |
| Provider Name | Rawzi Baik |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548613391 PECOS PAC ID: 3375824931 Enrollment ID: I20170712002552 |
| Provider Name | Nikita Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952830861 PECOS PAC ID: 4587934799 Enrollment ID: I20170720002601 |
| Provider Name | Ethan Taylor Mengle |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417449174 PECOS PAC ID: 8527313535 Enrollment ID: I20180615000251 |
| Provider Name | Lauren M Mitchell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932691136 PECOS PAC ID: 9335495910 Enrollment ID: I20180712001119 |
| Provider Name | Sarah G Baughman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467944710 PECOS PAC ID: 9234488891 Enrollment ID: I20180815003143 |
| Provider Name | Zachary T Stapleton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912499765 PECOS PAC ID: 6204189665 Enrollment ID: I20181101000275 |
| Provider Name | Eric Fox |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275017451 PECOS PAC ID: 5991049256 Enrollment ID: I20181128000939 |
| Provider Name | Zachary Charles Sherman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578066742 PECOS PAC ID: 4789920059 Enrollment ID: I20190107003271 |
| Provider Name | Shelley Ullom |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619094737 PECOS PAC ID: 8628316312 Enrollment ID: I20190204002824 |
| Provider Name | Elizabeth Correa |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316199953 PECOS PAC ID: 6800171539 Enrollment ID: I20190226001984 |
| Provider Name | Bryan Jacob Frantz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063934271 PECOS PAC ID: 6204179559 Enrollment ID: I20190530000473 |
| Provider Name | Cara Marie Wampler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447784582 PECOS PAC ID: 4486906294 Enrollment ID: I20190719003063 |
| Provider Name | Kaitlyn Mcbride |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699333625 PECOS PAC ID: 3577899426 Enrollment ID: I20190730002857 |
| Provider Name | Alexander Ford Curtis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487151403 PECOS PAC ID: 5698021160 Enrollment ID: I20190813003630 |
| Provider Name | Evan Andrews |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861912073 PECOS PAC ID: 8325317472 Enrollment ID: I20190820003748 |
| Provider Name | Martin Bruce Simmons |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588696280 PECOS PAC ID: 2860457207 Enrollment ID: I20191205000846 |
| Provider Name | Jessica Marie Bergana |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598311979 PECOS PAC ID: 9234564048 Enrollment ID: I20200123002145 |
| Provider Name | Erin Leigh Meffan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669945739 PECOS PAC ID: 8921437393 Enrollment ID: I20200406002246 |
| Provider Name | Lauren Virginia Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225654643 PECOS PAC ID: 4789006461 Enrollment ID: I20200625002386 |
| Provider Name | Keyana Mariah Kelley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821653791 PECOS PAC ID: 2264855667 Enrollment ID: I20200701002422 |
| Provider Name | Mark Alan Hassinger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174691513 PECOS PAC ID: 4082038500 Enrollment ID: I20200716002992 |
| Provider Name | Natalie Walker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689298911 PECOS PAC ID: 2668883562 Enrollment ID: I20201125001426 |
| Provider Name | Isaiah Michael Jordan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801414925 PECOS PAC ID: 7719396068 Enrollment ID: I20210517002614 |
| Provider Name | Madeleine Jane Mcbain |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043885262 PECOS PAC ID: 5395144018 Enrollment ID: I20210601001252 |
| Provider Name | Alexandra Potter |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124649215 PECOS PAC ID: 2264835792 Enrollment ID: I20210722001645 |
| Provider Name | Ann Marie Cater |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285254748 PECOS PAC ID: 4183027493 Enrollment ID: I20210723002952 |
| Provider Name | Chloe Ann Janson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598331274 PECOS PAC ID: 0345643433 Enrollment ID: I20210729002504 |
| Provider Name | Anthony Chi-kwong Chiang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740803766 PECOS PAC ID: 1153726294 Enrollment ID: I20210826003668 |
| Provider Name | Justin Gillette |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871054825 PECOS PAC ID: 4486067071 Enrollment ID: I20210924002845 |
| Provider Name | Alanna Kirk |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124432562 PECOS PAC ID: 5698992816 Enrollment ID: I20220627003189 |
| Provider Name | Devin Paul Webber |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851973010 PECOS PAC ID: 1052791829 Enrollment ID: I20220711002327 |
| Provider Name | Mary Grace Curtis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083344428 PECOS PAC ID: 2466833173 Enrollment ID: I20220712004029 |
| Provider Name | Jacob Terry |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083346605 PECOS PAC ID: 7618358433 Enrollment ID: I20220725002284 |
| Provider Name | Matthew Cellar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164153169 PECOS PAC ID: 6406239136 Enrollment ID: I20220812002812 |
| Provider Name | Natalee Camile Rackus |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508530890 PECOS PAC ID: 2365846409 Enrollment ID: I20220913002019 |
| Provider Name | George Georgilis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609801463 PECOS PAC ID: 3476656877 Enrollment ID: I20220927001969 |
| Provider Name | Melanie Rose Smiley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275222622 PECOS PAC ID: 2769842699 Enrollment ID: I20230724002284 |
| Mailing Address | Practice Location Address |
|---|---|
| Clarkson Eyecare Po Box 207170, Dallas, TX 75320-7156 Ph: (636) 200-4393 | Clarkson Eyecare 5283 Cornerstone North Blvd, Centerville, OH 45440-2270 Ph: (937) 848-6601 |
Dr. Jason T. Mccain O.d. P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6244 Wilmington Pike, Centerville, OH 45459 Phone: 937-848-2243 Fax: 937-848-2498 | |
Dr. Steven Michael Grout, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 101 E Alex Bell Rd Ste 120, Centerville, OH 45459 Phone: 937-435-2437 Fax: 937-435-9759 | |
Dr. Tracy Tate, OD Optometrist Medicare: Medicare Enrolled Practice Location: 5300 Cornerstone North Blvd, Centerville, OH 45440 Phone: 937-640-6015 Fax: 937-640-6016 | |
Just 4 Eyes Llc Optometrist Medicare: Medicare Enrolled Practice Location: 5826 Wilmington Pike, Centerville, OH 45459 Phone: 937-428-9499 | |
Clarkson Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5283 Cornerstone North Blvd, Centerville, OH 45440 Phone: 693-784-8660 Fax: 937-848-6101 | |
Dr. Samuel A Borchers, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 330 N Main Street, Suite #104, Centerville, OH 45459 Phone: 937-433-0950 |