| Ives Eyecare Center Inc | |
|
145 N Water Street, West Newton, PA 15089 | |
| (724) 872-5621 | |
| (724) 872-6660 |
| Full Name | Ives Eyecare Center Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 145 N Water Street, West Newton, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073500724 | NPI | - | NPPES |
| 001036189 | Medicaid | PA | |
| 1036189 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OEG001122 (Pennsylvania) | Primary |
| Provider Name | Paul Fred Ives |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922090323 PECOS PAC ID: 1355314857 Enrollment ID: I20040816000218 |
| Provider Name | Danielle Rose Cozza |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922459981 PECOS PAC ID: 2769776657 Enrollment ID: I20160816001972 |
| Provider Name | Alexa Ives |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205492998 PECOS PAC ID: 4981930120 Enrollment ID: I20190725003536 |
| Provider Name | Tessa Lane Ives |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245906056 PECOS PAC ID: 8921494220 Enrollment ID: I20220414000931 |
| Mailing Address | Practice Location Address |
|---|---|
| Ives Eyecare Center Inc 145 N Water Street, West Newton, PA 15089 Ph: (724) 872-5621 | Ives Eyecare Center Inc 145 N Water Street, West Newton, PA 15089 Ph: (724) 872-5621 |
Dr. Paul Fred Ives, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 145 N Water St, West Newton, PA 15089 Phone: 724-872-5621 Fax: 724-872-6660 |