| Parke Vision Care Llc | |
|
725 N Lincoln Rd, Rockville, IN 47872-1117 | |
| (765) 569-2008 | |
| (765) 569-2009 |
| Full Name | Parke Vision Care Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 725 N Lincoln Rd, Rockville, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396967691 | NPI | - | NPPES |
| 200954600 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 18001654 (Indiana) | Primary |
| Provider Name | Valerie L Jones |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619106952 PECOS PAC ID: 3971658931 Enrollment ID: I20090827000487 |
| Mailing Address | Practice Location Address |
|---|---|
| Parke Vision Care Llc Po Box 278, Rockville, IN 47872-0278 Ph: (765) 569-2008 | Parke Vision Care Llc 725 N Lincoln Rd, Rockville, IN 47872-1117 Ph: (765) 569-2008 |
Dr. Gary T Coburn, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 725 N Lincoln Road, Rockville, IN 47872 Phone: 765-569-2008 Fax: 765-569-2009 | |
Valerie Lyn Jones, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 725 N. Lincoln Rd, Rockville, IN 47872 Phone: 765-569-2008 Fax: 765-569-2009 |