| Courtney Irene Diaz, OD | |
|
926 N 21st St, Newark, OH 43055-2920 | |
| (740) 366-7341 | |
| Not Available |
| Full Name | Courtney Irene Diaz |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 10 Years |
| Location | 926 N 21st St, Newark, 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 |
|---|---|---|---|
| 1760863047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 6378 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Primary Vision Care Of Mount Vernon Inc | 1850645102 | 4 |
| Primary Vision Care Inc | 3173556578 | 3 |
| Provider Name | Mark D Henry Od Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093895690 PECOS PAC ID: 8224926415 Enrollment ID: O20040309000692 |
| Provider Name | Primary Vision Care Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558371153 PECOS PAC ID: 3173556578 Enrollment ID: O20050915001006 |
| Provider Name | Primary Vision Care Of Mount Vernon Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1801329180 PECOS PAC ID: 1850645102 Enrollment ID: O20181126002980 |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney Irene Diaz, OD 926 N 21st St, Newark, OH 43055-2920 Ph: (740) 366-7341 | Courtney Irene Diaz, OD 926 N 21st St, Newark, OH 43055-2920 Ph: (740) 366-7341 |
Nicholas Tyler Perichak, O.D, M.S. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1010 N 21st St, Newark, OH 43055 Phone: 740-366-5050 | |
Dr. Holly Lee Hanbaum, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1010 North 21st St, Newark, OH 43055 Phone: 740-366-5050 Fax: 740-366-4149 | |
Jack L Neely And Holly L Hanbaum Ptr Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1010 N 21st St, Newark, OH 43055 Phone: 740-366-5050 | |
Dr. Cheryl A Wood Eckhardt, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 603 Country Club Dr, Newark, OH 43055 Phone: 740-344-1312 Fax: 740-344-1365 | |
Dr. Kathryn Sovine Wise, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 603 Country Club Dr, Newark, OH 43055 Phone: 740-344-1312 Fax: 740-344-1365 | |
Dr. Jack Lynn Neely, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1010 N 21st St, Newark, OH 43055 Phone: 740-366-5050 Fax: 740-366-4149 | |
Primary Vision Care Inc Optometrist Medicare: Medicare Enrolled Practice Location: 926 N 21st St, Newark, OH 43055 Phone: 740-366-7341 Fax: 740-366-5453 |