| Deconcilis Eye And Vision Center, Pc | |
|
950 S Central Ave, Suite 1, Canonsburg, PA 15317-1489 | |
| (724) 745-2020 | |
| (724) 745-4888 |
| Full Name | Deconcilis Eye And Vision Center, Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 950 S Central Ave, Canonsburg, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801086913 | NPI | - | NPPES |
| 001193064 | Medicaid | PA | |
| 101014498 | Medicaid | PA | |
| DN2099 | Other | PA | RAILROAD MEDICARE PART B GROUP PTAN |
| P00609148 | Other | PA | RAILROAD MEDICARE PART B GROUP MEMBER PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OEG000998 (Pennsylvania) | Primary |
| Provider Name | Ashley Mowl |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467477265 PECOS PAC ID: 3072513985 Enrollment ID: I20070827000076 |
| Provider Name | Austin Tocco |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942935762 PECOS PAC ID: 8729460241 Enrollment ID: I20220801000786 |
| Provider Name | Jacob Burley Davis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811760747 PECOS PAC ID: 0244689933 Enrollment ID: I20231206002402 |
| Mailing Address | Practice Location Address |
|---|---|
| Deconcilis Eye And Vision Center, Pc 950 S Central Ave, Suite 1, Canonsburg, PA 15317-1489 Ph: (724) 745-2020 | Deconcilis Eye And Vision Center, Pc 950 S Central Ave, Suite 1, Canonsburg, PA 15317-1489 Ph: (724) 745-2020 |
Kylie Ann Centore, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 220 E Mcmurray Rd, Canonsburg, PA 15317 Phone: 724-942-1300 | |
Sarah Kathleen Bogdanovich, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 609 E Mcmurray Rd, Canonsburg, PA 15317 Phone: 724-941-3930 | |
Dr. Ashley D Mowl, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 950 South Central Ave, Suite 1, Canonsburg, PA 15317 Phone: 724-745-2020 Fax: 724-745-4888 | |
Dr. Jacob Burley Davis, OD Optometrist Medicare: Medicare Enrolled Practice Location: 950 S Central Ave, Canonsburg, PA 15317 Phone: 724-745-2020 Fax: 724-745-4888 | |
Dr. Austin Tocco, OD Optometrist Medicare: Medicare Enrolled Practice Location: 950 S Central Ave, Canonsburg, PA 15317 Phone: 724-745-2020 Fax: 724-745-4888 |