| Innovative Vision Llc | |
|
9711 Montgomery Rd, Montgomery, OH 45242-7207 | |
| (513) 793-8486 | |
| (513) 793-2023 |
| Full Name | Innovative Vision Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 9711 Montgomery Rd, Montgomery, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912187402 | NPI | - | NPPES |
| 2225729 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 5396 (Ohio) | Primary |
| Provider Name | Brian Keith Kuhlman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528096609 PECOS PAC ID: 2365425659 Enrollment ID: I20040608001365 |
| Provider Name | Kevin T Corcoran |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902863673 PECOS PAC ID: 7810970100 Enrollment ID: I20100225000626 |
| Provider Name | William Davis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033117528 PECOS PAC ID: 1456314327 Enrollment ID: I20130102000377 |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Vision Llc 9711 Montgomery Rd, Montgomery, OH 45242-7207 Ph: (513) 793-8486 | Innovative Vision Llc 9711 Montgomery Rd, Montgomery, OH 45242-7207 Ph: (513) 793-8486 |
Innovative Vision Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9711 Montgomery Rd, Montgomery, OH 45242 Phone: 513-793-8486 Fax: 513-793-2023 |