| Powell Vision Clinic, Llc | |
|
3975 Navarre Ave, Oregon, OH 43616-3437 | |
| (419) 698-4949 | |
| Not Available |
| Full Name | Powell Vision Clinic, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3975 Navarre Ave, Oregon, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861938524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 6309/T3225 (Ohio) | Primary |
| Provider Name | Lynette S Powell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730195637 PECOS PAC ID: 4082786579 Enrollment ID: I20080709000431 |
| Provider Name | Blake G Powell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174937619 PECOS PAC ID: 9234358094 Enrollment ID: I20140910001261 |
| Provider Name | Amber R Lange |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982195855 PECOS PAC ID: 7719232503 Enrollment ID: I20180619002763 |
| Mailing Address | Practice Location Address |
|---|---|
| Powell Vision Clinic, Llc 3975 Navarre Ave, Oregon, OH 43616-3437 Ph: () - | Powell Vision Clinic, Llc 3975 Navarre Ave, Oregon, OH 43616-3437 Ph: (419) 698-4949 |
Jodi Kessinger, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2740 Navarre Ave, Oregon, OH 43616 Phone: 419-693-4444 Fax: 419-697-2149 | |
Dr. Cole Dove, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3721 Navarre Ave, Oregon, OH 43616 Phone: 419-698-8584 | |
Dr. Kim Gordon Powell, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3975 Navarre Ave, Oregon, OH 43616 Phone: 419-698-4949 Fax: 419-698-9948 | |
Dr. R A Cherry Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3017 Navarre Ave, Oregon, OH 43616 Phone: 419-693-4488 Fax: 419-693-9615 | |
Blake Gordon Powell, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3975 Navarre Ave, Oregon, OH 43616 Phone: 419-698-4949 Fax: 419-698-9948 | |
Dr. Jush Patel, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3542 Navarre Ave, Oregon, OH 43616 Phone: 419-693-4444 | |
Dr. Joel Wagner, Optometrist Medicare: Medicare Enrolled Practice Location: 3542 Navarre Ave, Oregon, OH 43616 Phone: 419-693-4444 |