| Dr Kyle D Mayginnes, OD | |
| 
					459 Colemans Crossing Blvd, Marysville, OH 43040-7068  | |
| (937) 553-6287 | |
| (937) 707-6933 | 
| Full Name | Dr Kyle D Mayginnes | 
|---|---|
| Gender | Male | 
| Speciality | Optometrist | 
| Location | 459 Colemans Crossing Blvd, Marysville, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1700867652 | NPI | - | NPPES | 
| 046008206 | Medicaid | IL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | 046-008206 (Illinois) | Secondary | 
| 152W00000X | Optometrist | OPT.007031 (Ohio) | Primary | 
| Provider Name | Family First Vision Care Llc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1427462183 PECOS PAC ID: 2769709179 Enrollment ID: O20150324001362  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Kyle D Mayginnes, OD 226 Fairhavens, Marysville, OH 43040-3532 Ph: (309) 645-2229  | Dr Kyle D Mayginnes, OD 459 Colemans Crossing Blvd, Marysville, OH 43040-7068 Ph: (937) 553-6287  | 
Dr. Shannon Davidson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1001 W Fifth St, Marysville, OH 43040 Phone: 937-644-8637 Fax: 937-644-8653  | |
Shimul Y Shah, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 122 N Main St, Marysville, OH 43040 Phone: 937-642-1300 Fax: 937-642-0101  | |
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 459 Colemans Crossing Blvd, Marysville, OH 43040 Phone: 937-553-6287  | |
Dr. Serafima Petrenko, OD, MS Optometrist Medicare: Medicare Enrolled Practice Location: 1001 W 5th St, Marysville, OH 43040 Phone: 937-644-8637  | |
Matthew Steven Thompson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1001 W Fifth St, Marysville, OH 43040 Phone: 937-644-8637 Fax: 937-644-8653  | |
Ohio Penal Industries Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1479 Collins Ave, Marysville, OH 43040 Phone: 937-707-2289  | |
Thomas J Shoemaker, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 122 N Main St, Marysville, OH 43040 Phone: 934-642-1300 Fax: 937-642-0101  |