| Dr Robert J Dittoe, OD | |
|
391 Lincoln Park Dr, New Lexington, OH 43764-1080 | |
| (740) 342-1784 | |
| (740) 342-1791 |
| Full Name | Dr Robert J Dittoe |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 391 Lincoln Park Dr, New Lexington, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184671174 | NPI | - | NPPES |
| 580002099A | Other | OH | RAILROAD MEDICARE |
| 0429656 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3465/T409 (Ohio) | Primary |
| Provider Name | Mobile Medical Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1689620015 PECOS PAC ID: 5890765481 Enrollment ID: O20040730000013 |
| Provider Name | Newark Vision Care Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1497357081 PECOS PAC ID: 8022420884 Enrollment ID: O20201218002314 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert J Dittoe, OD 449 Buckingham Ln, Lancaster, OH 43130-8891 Ph: (740) 681-9680 | Dr Robert J Dittoe, OD 391 Lincoln Park Dr, New Lexington, OH 43764-1080 Ph: (740) 342-1784 |
James Gerald Shover, O.D Optometrist Medicare: Not Enrolled in Medicare Practice Location: 123 Mill St, New Lexington, OH 43764 Phone: 740-743-2243 | |
John Manard, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 391 Lincoln Park Dr, New Lexington, OH 43764 Phone: 740-342-1784 | |
Monica Braun, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 391 Lincoln Park Dr, New Lexington, OH 43764 Phone: 740-342-1784 | |
Newark Vision Care Llc Optometrist Medicare: Medicare Enrolled Practice Location: 391 Lincoln Park Dr, New Lexington, OH 43764 Phone: 740-342-1784 Fax: 740-342-1791 | |
Robert J. Dittoe, O.d., Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 391 Lincoln Park Dr, New Lexington, OH 43764 Phone: 740-342-1784 Fax: 740-342-1791 | |
Dr. Kyle D Martin, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 391 Lincoln Park Dr, New Lexington, OH 43764 Phone: 740-342-1784 Fax: 740-342-1791 |