| Dr Brian A Dittenber, OD | |
|
690 W Cherry St, Sunbury, OH 43074-8556 | |
| (740) 965-4671 | |
| Not Available |
| Full Name | Dr Brian A Dittenber |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 690 W Cherry St, Sunbury, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982761482 | NPI | - | NPPES |
| 0400793 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3226 (Ohio) | Primary |
| Provider Name | Vision Professionals - Sunbury Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1750832960 PECOS PAC ID: 6507140787 Enrollment ID: O20170307002724 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian A Dittenber, OD 690 W Cherry St, Sunbury, OH 43074-8556 Ph: (740) 965-4671 | Dr Brian A Dittenber, OD 690 W Cherry St, Sunbury, OH 43074-8556 Ph: (740) 965-4671 |
Dr. Deborah L Wright, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 116 N Miller Dr Ste B, Sunbury, OH 43074 Phone: 740-965-1165 Fax: 740-870-2810 | |
Vision Professionals - Sunbury Llc Optometrist Medicare: Medicare Enrolled Practice Location: 690 W Cherry St, Sunbury, OH 43074 Phone: 740-965-4671 | |
Chris A. Smiley, O.d. And Associates, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 690 W Cherry St, Sunbury, OH 43074 Phone: 740-965-4671 |