| Edmonton Family Vision Center Psc | |
|
1406 W Stockton St, Edmonton, KY 42129-8125 | |
| (270) 432-0123 | |
| (270) 432-5899 |
| Full Name | Edmonton Family Vision Center Psc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1406 W Stockton St, Edmonton, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275712416 | NPI | - | NPPES |
| 77903250 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1226DT (Kentucky) | Primary |
| Provider Name | Cheryl G Whitlow |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992701635 PECOS PAC ID: 7719952878 Enrollment ID: I20040901000095 |
| Provider Name | Ronald T Wagner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700933298 PECOS PAC ID: 0840330940 Enrollment ID: I20091222000215 |
| Provider Name | Robert N Whitlow |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265438956 PECOS PAC ID: 0941275010 Enrollment ID: I20100319000378 |
| Mailing Address | Practice Location Address |
|---|---|
| Edmonton Family Vision Center Psc 1406 W Stockton St, Edmonton, KY 42129-8125 Ph: (270) 432-0123 | Edmonton Family Vision Center Psc 1406 W Stockton St, Edmonton, KY 42129-8125 Ph: (270) 432-0123 |
Dr. Robert N Whitlow Ii, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1406 W Stockton St, Edmonton, KY 42129 Phone: 270-432-0123 Fax: 270-432-5899 | |
Dr. Cheryl Gilchrist Whitlow, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1406 W Stockton St, Edmonton, KY 42129 Phone: 270-432-0123 Fax: 270-432-5899 |