| Craig S Pennell, OD | |
|
1824 Declaration Dr, Independence, KY 41051-8432 | |
| (859) 363-3347 | |
| Not Available |
| Full Name | Craig S Pennell |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 37 Years |
| Location | 1824 Declaration Dr, Independence, Kentucky |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841351228 | NPI | - | NPPES |
| 0966101 | Other | KY | MEDICARE ID |
| 77011682 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1168DT (Kentucky) | Primary |
| Provider Name | Family Eyehealth Center Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558485839 PECOS PAC ID: 2466495502 Enrollment ID: O20050609000019 |
| Mailing Address | Practice Location Address |
|---|---|
| Craig S Pennell, OD 8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442 Ph: (703) 847-8899 | Craig S Pennell, OD 1824 Declaration Dr, Independence, KY 41051-8432 Ph: (859) 363-3347 |
Sawyer Vision Holdings Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1131 Laurelwood Ln, Independence, KY 41051 Phone: 513-633-0060 | |
Family Eyehealth Center, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 1824 Declaration Dr, Independence, KY 41051 Phone: 859-363-3347 | |
Brennan Andrew Lameier, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11971 Wilson Rd, Independence, KY 41051 Phone: 859-363-0268 | |
Myeyedr Optometry Of Kentucky, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1824 Declaration Dr, Independence, KY 41051 Phone: 859-363-3347 Fax: 859-363-7781 |