| Dr Duane L Wires, OD | |
|
107 S Main St, Ada, OH 45810-1240 | |
| (419) 634-2921 | |
| (419) 634-9858 |
| Full Name | Dr Duane L Wires |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 107 S Main St, Ada, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427040633 | NPI | - | NPPES |
| 055775 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3756 (Ohio) | Primary |
| Provider Name | Eyes On Main, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1477735538 PECOS PAC ID: 6709950991 Enrollment ID: O20080806000448 |
| Provider Name | Village Vision Center, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1730378373 PECOS PAC ID: 6800943325 Enrollment ID: O20090420000362 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Duane L Wires, OD 107 S Main St, Ada, OH 45810-1240 Ph: (419) 634-2921 | Dr Duane L Wires, OD 107 S Main St, Ada, OH 45810-1240 Ph: (419) 634-2921 |
Eyes On Main Optometry Llc Optometrist Medicare: Medicare Enrolled Practice Location: 107 S Main St, Ada, OH 45810 Phone: 419-634-2921 Fax: 419-634-9858 | |
Mrs. Liane Marie Wilt, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 107 S Main St, Ada, OH 45810 Phone: 419-634-2921 Fax: 419-634-9858 |