| Ian M Carr, OD | |
|
581 Dudley Pike, Edgewood, KY 41017-3296 | |
| (859) 341-0888 | |
| (859) 341-3386 |
| Full Name | Ian M Carr |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 18 Years |
| Location | 581 Dudley Pike, Edgewood, Kentucky |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104017847 | NPI | - | NPPES |
| 11769998 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1725DT (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carol Lynn Deitz O D Inc | 4981692084 | 2 |
| Provider Name | Carol Lynn Deitz O D Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1821268392 PECOS PAC ID: 4981692084 Enrollment ID: O20090624000530 |
| Mailing Address | Practice Location Address |
|---|---|
| Ian M Carr, OD 581 Dudley Pike, Edgewood, KY 41017-3296 Ph: (859) 341-0888 | Ian M Carr, OD 581 Dudley Pike, Edgewood, KY 41017-3296 Ph: (859) 341-0888 |
Erin Rolfes, OD, MS Optometrist Medicare: Accepting Medicare Assignments Practice Location: 580 S Loop Rd, Edgewood, KY 41017 Phone: 859-331-9000 | |
Dr. Sarah Rachel Travis, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 581 Dudley Pike, Edgewood, KY 41017 Phone: 859-341-0888 | |
Dr. Christopher Jordan Bertke, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 581 Dudley Pike, Edgewood, KY 41017 Phone: 859-341-0888 | |
Carol Deitz-bertke, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 581 Dudley Pike, Edgewood, KY 41017 Phone: 859-341-0888 Fax: 859-341-3386 | |
Carol Lynn Deitz O D Inc Optometrist Medicare: Medicare Enrolled Practice Location: 581 Dudley Rd., Edgewood, KY 41017 Phone: 859-341-0888 Fax: 859-341-3386 | |
Brooke Nicole Hyde, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 580 S Loop Rd Ste 200, Edgewood, KY 41017 Phone: 513-569-3741 |