| Iola Vision Source, Llc | |
|
216 N Jefferson Ave, Iola, KS 66749-2943 | |
| (620) 365-2108 | |
| (620) 365-2108 |
| Full Name | Iola Vision Source, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 216 N Jefferson Ave, Iola, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568550754 | NPI | - | NPPES |
| 100642380A | Medicaid | KS | |
| DA4480 | Other | KS | RAILROAD MEDICARE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Douglas Alan Donnelly |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912972308 PECOS PAC ID: 8022146729 Enrollment ID: I20100517000189 |
| Provider Name | Matthew D Skahan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528033677 PECOS PAC ID: 3476687369 Enrollment ID: I20100813000699 |
| Mailing Address | Practice Location Address |
|---|---|
| Iola Vision Source, Llc Po Box 847, Iola, KS 66749-0847 Ph: (620) 365-2108 | Iola Vision Source, Llc 216 N Jefferson Ave, Iola, KS 66749-2943 Ph: (620) 365-2108 |
Dr. Matthew Dennis Skahan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 424 N Washington Ave, Iola, KS 66749 Phone: 620-365-2108 Fax: 620-365-2522 | |
Dr. Douglas Alan Donnelly, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 424 N Washington Ave, Iola, KS 66749 Phone: 620-365-2108 Fax: 620-365-2522 |