| Eye Clinic Of West Jefferson, Llc | |
|
94 W Main St, West Jefferson, OH 43162-1229 | |
| (614) 879-7239 | |
| (614) 879-1001 |
| Full Name | Eye Clinic Of West Jefferson, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 94 W Main St, West Jefferson, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114055530 | NPI | - | NPPES |
| DD9476 | Other | OH | MEDICARE RAILROAD |
| 2436322 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 5388 (Ohio) | Primary |
| Provider Name | Scott A Furgerson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346298270 PECOS PAC ID: 0042231516 Enrollment ID: I20080610000468 |
| Provider Name | Mary Catherine Furgerson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902123102 PECOS PAC ID: 9133251523 Enrollment ID: I20100721000077 |
| Mailing Address | Practice Location Address |
|---|---|
| Eye Clinic Of West Jefferson, Llc 94 W Main St, West Jefferson, OH 43162-1229 Ph: (614) 879-7239 | Eye Clinic Of West Jefferson, Llc 94 W Main St, West Jefferson, OH 43162-1229 Ph: (614) 879-7239 |
Dr. Scott A Furgerson, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 94 W Main St, West Jefferson, OH 43162 Phone: 614-879-7239 Fax: 614-879-1001 | |
Dr. Mary Catherine Furgerson, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 487 W Main St, West Jefferson, OH 43162 Phone: 614-879-7239 Fax: 614-879-1001 |