| Family Eyehealth Center, Llc | |
|
1824 Declaration Dr, Independence, KY 41051-8196 | |
| (859) 363-3347 | |
| Not Available |
| Full Name | Family Eyehealth Center, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1824 Declaration Dr, Independence, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558485839 | NPI | - | NPPES |
| 77903938 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1168DT (Kentucky) | Primary |
| 332H00000X | Eyewear Supplier | 1168DT (Kentucky) | Secondary |
| Provider Name | Craig S Pennell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841351228 PECOS PAC ID: 4183667223 Enrollment ID: I20050614000007 |
| Mailing Address | Practice Location Address |
|---|---|
| Family Eyehealth Center, Llc 1824 Declaration Dr, Independence, KY 41051-8196 Ph: (859) 363-3347 | Family Eyehealth Center, Llc 1824 Declaration Dr, Independence, KY 41051-8196 Ph: (859) 363-3347 |
Sawyer Vision Holdings Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1131 Laurelwood Ln, Independence, KY 41051 Phone: 513-633-0060 | |
Brennan Andrew Lameier, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11971 Wilson Rd, Independence, KY 41051 Phone: 859-363-0268 | |
Myeyedr Optometry Of Kentucky, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1824 Declaration Dr, Independence, KY 41051 Phone: 859-363-3347 Fax: 859-363-7781 | |
Craig S Pennell, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1824 Declaration Dr, Independence, KY 41051 Phone: 859-363-3347 |