| Lake Erie Family Eyecare Llc | |
|
222 Jefferson St, Port Clinton, OH 43452-1141 | |
| (419) 734-2106 | |
| (419) 734-3792 |
| Full Name | Lake Erie Family Eyecare Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 222 Jefferson St, Port Clinton, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639264872 | NPI | - | NPPES |
| 02487 | Other | OH | PARAMOUNT HEALTH CARE |
| 2284611 | Medicaid | OH | |
| 300709331004 | Other | OH | MEDICAL MUTUAL OF OHIO |
| 04231 | Other | OH | PARAMOUNT HEALTH CARE |
| 298423149006 | Other | OH | MEDICAL MUTUAL OF OHIO |
| 000000510602 | Other | OH | ANTHEM BCBS |
| 000000519919 | Other | OH | ANTHEM BCBS |
| 0257181 | Medicaid | OH | |
| 2628704 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3027/T449 (Ohio) | Primary |
| Provider Name | David Harold George |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114926334 PECOS PAC ID: 1951316892 Enrollment ID: I20060215000066 |
| Provider Name | Jennifer S Felbinger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629072244 PECOS PAC ID: 0042225989 Enrollment ID: I20060412000017 |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Erie Family Eyecare Llc 222 Jefferson St, Port Clinton, OH 43452-1141 Ph: (419) 734-2106 | Lake Erie Family Eyecare Llc 222 Jefferson St, Port Clinton, OH 43452-1141 Ph: (419) 734-2106 |
Dr. Emmett Cleary, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2826 E Harbor Rd, Port Clinton, OH 43452 Phone: 419-734-7995 | |
David H George, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 222 Jefferson St, Port Clinton, Port Clinton, OH 43452 Phone: 419-734-2106 Fax: 419-734-3792 | |
Dr. Sue Ellen Van Dootingh, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 820 Jefferson St, Port Clinton, OH 43452 Phone: 419-732-2828 | |
Madison Eye Care Of Port Clinton Llc Optometrist Medicare: Medicare Enrolled Practice Location: 820 Jefferson St, Port Clinton, OH 43452 Phone: 419-732-2828 | |
Jennifer S Felbinger, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 222 Jefferson St, Port Clinton, OH 43452 Phone: 419-734-2106 Fax: 419-734-3792 |