| Dickman Kettler & Bruner Inc | |
|
201 S 2nd St, Coldwater, OH 45828-1747 | |
| (419) 678-3016 | |
| (419) 678-8849 |
| Full Name | Dickman Kettler & Bruner Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 201 S 2nd St, Coldwater, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558478453 | NPI | - | NPPES |
| 0611190 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Jillynn F Bruner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780791681 PECOS PAC ID: 7810996758 Enrollment ID: I20070417000221 |
| Provider Name | Alicia W Tobe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013220433 PECOS PAC ID: 5193917862 Enrollment ID: I20101013000594 |
| Provider Name | Tyler J Speelman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780023978 PECOS PAC ID: 0749422897 Enrollment ID: I20130820000425 |
| Provider Name | Calen C.w. Bruner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992444269 PECOS PAC ID: 2961883269 Enrollment ID: I20220718003387 |
| Provider Name | Clara Wagner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316644537 PECOS PAC ID: 3476919531 Enrollment ID: I20230515002776 |
| Provider Name | Carson M Bruner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063107183 PECOS PAC ID: 6608236567 Enrollment ID: I20230724003595 |
| Mailing Address | Practice Location Address |
|---|---|
| Dickman Kettler & Bruner Inc Po Box 95, 201 S Second St, Coldwater, OH 45828-0095 Ph: (419) 678-3016 | Dickman Kettler & Bruner Inc 201 S 2nd St, Coldwater, OH 45828-1747 Ph: (419) 678-3016 |
Dr. Alicia W Tobe, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 201 S 2nd St, Coldwater, OH 45828 Phone: 419-678-3016 Fax: 419-678-8849 | |
James K Dickman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 201 S 2nd St, Coldwater, OH 45828 Phone: 419-678-3016 Fax: 419-678-8849 | |
Dr. Tyler James Speelman, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 201 S 2nd St, Coldwater, OH 45828 Phone: 419-678-3016 Fax: 419-678-8849 | |
Jillynn F Bruner, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 201 S 2nd St, Coldwater, OH 45828 Phone: 419-678-3016 Fax: 419-678-8849 | |
Wayne R Kettler, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 201 S 2nd St, Coldwater, OH 45828 Phone: 419-678-3016 Fax: 419-678-8849 |