| Premier Vision Group | |
|
2765 Ft Amanda Rd, Suite 100, Lima, OH 45805-3887 | |
| (419) 228-3937 | |
| (419) 228-3939 |
| Full Name | Premier Vision Group |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2765 Ft Amanda Rd, Lima, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366571846 | NPI | - | NPPES |
| 2552750 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3762T631 (Ohio) | Primary |
| Provider Name | John T Archer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568565034 PECOS PAC ID: 4789678913 Enrollment ID: I20040417000626 |
| Provider Name | Christa B Heckman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043313695 PECOS PAC ID: 7315976339 Enrollment ID: I20050810000698 |
| Provider Name | Michael Jay Crawford |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689609851 PECOS PAC ID: 2466556345 Enrollment ID: I20070403000002 |
| Provider Name | Cheryl Archer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447353917 PECOS PAC ID: 2961496195 Enrollment ID: I20090818000127 |
| Provider Name | Tracey G Needham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245305754 PECOS PAC ID: 8123157161 Enrollment ID: I20100601000023 |
| Provider Name | Brian E Dietz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346552288 PECOS PAC ID: 8820121296 Enrollment ID: I20100805000464 |
| Provider Name | Mile Brujic |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659474120 PECOS PAC ID: 7517053762 Enrollment ID: I20100811000070 |
| Provider Name | Andrea K Dietz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649568577 PECOS PAC ID: 8729257456 Enrollment ID: I20110812000551 |
| Provider Name | Kylee K Kleppinger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598052896 PECOS PAC ID: 1759538861 Enrollment ID: I20150102000949 |
| Provider Name | Auston Hood |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740854389 PECOS PAC ID: 3274932140 Enrollment ID: I20210525003318 |
| Provider Name | Zachary Shawn Jacoby |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396437828 PECOS PAC ID: 2668839754 Enrollment ID: I20230605002859 |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Vision Group 2765 Ft Amanda Rd, Suite 100, Lima, OH 45805-3887 Ph: (419) 228-3937 | Premier Vision Group 2765 Ft Amanda Rd, Suite 100, Lima, OH 45805-3887 Ph: (419) 228-3937 |
Dr. Christa Heckman, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2765 Fort Amanda Rd, Suite 100, Lima, OH 45805 Phone: 419-228-3937 Fax: 419-882-3939 | |
Speelman Eye Care, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2155 Allentown Rd, Lima, OH 45805 Phone: 419-228-3800 | |
Richard E Cheney, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1593 Allentown Rd, Lima, OH 45805 Phone: 419-228-9176 | |
Stephen N. Cajacob, O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1034 W Market St, Lima, OH 45805 Phone: 419-228-8116 Fax: 419-228-1160 | |
Vision Center Of Lima, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1593 Allentown Rd, Lima, OH 45805 Phone: 419-228-9176 Fax: 419-228-9535 | |
Michael F Williams Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2155 Allentown Rd, Lima, OH 45805 Phone: 419-228-3800 | |
Omar Amjad Sweidan, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2155 Allentown Rd, Lima, OH 45805 Phone: 419-228-3800 |