| Fair Vision Inc | |
|
113 N Lisbon St, Carrollton, OH 44615-1327 | |
| (330) 627-2430 | |
| Not Available |
| Full Name | Fair Vision Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 113 N Lisbon St, Carrollton, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336153196 | NPI | - | NPPES |
| 0561299 | Medicaid | OH | |
| 0076271 | Medicaid | OH | |
| 0171174 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3728 (Ohio) | Primary |
| Provider Name | Gregory A Fair |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376657668 PECOS PAC ID: 0143346171 Enrollment ID: I20100928000789 |
| Provider Name | Kelsea Diane Naylor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780033217 PECOS PAC ID: 3375835317 Enrollment ID: I20160712000914 |
| Mailing Address | Practice Location Address |
|---|---|
| Fair Vision Inc 113 N Lisbon St, Carrollton, OH 44615-1327 Ph: (330) 627-2430 | Fair Vision Inc 113 N Lisbon St, Carrollton, OH 44615-1327 Ph: (330) 627-2430 |
Dr. Gregory A Fair, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 113 N Lisbon St, Carrollton, OH 44615 Phone: 330-627-2430 | |
Dr. Kelsea Diane Naylor, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 113 N Lisbon St, Carrollton, OH 44615 Phone: 330-627-2430 Fax: 330-627-5681 |