| Primary Vision Care Inc | |
|
926 N 21st St, Newark, OH 43055-2920 | |
| (740) 366-7341 | |
| (740) 366-5453 |
| Full Name | Primary Vision Care Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 926 N 21st St, Newark, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558371153 | NPI | - | NPPES |
| 0581857 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Mark D Henry |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275527467 PECOS PAC ID: 6507754702 Enrollment ID: I20040310000320 |
| Provider Name | Courtney Irene Diaz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760863047 PECOS PAC ID: 9133432115 Enrollment ID: I20150720002825 |
| Provider Name | Lauren Renee Haack |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164861860 PECOS PAC ID: 8325426794 Enrollment ID: I20220526001242 |
| Provider Name | Erica Treiber |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629765078 PECOS PAC ID: 2062879877 Enrollment ID: I20230609002687 |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Vision Care Inc 926 N 21st Street, Newark, OH 43055 Ph: (740) 366-7341 | Primary Vision Care Inc 926 N 21st St, Newark, OH 43055-2920 Ph: (740) 366-7341 |
Nicholas Tyler Perichak, O.D, M.S. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1010 N 21st St, Newark, OH 43055 Phone: 740-366-5050 | |
Dr. Holly Lee Hanbaum, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1010 North 21st St, Newark, OH 43055 Phone: 740-366-5050 Fax: 740-366-4149 | |
Jack L Neely And Holly L Hanbaum Ptr Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1010 N 21st St, Newark, OH 43055 Phone: 740-366-5050 | |
Dr. Cheryl A Wood Eckhardt, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 603 Country Club Dr, Newark, OH 43055 Phone: 740-344-1312 Fax: 740-344-1365 | |
Dr. Kathryn Sovine Wise, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 603 Country Club Dr, Newark, OH 43055 Phone: 740-344-1312 Fax: 740-344-1365 | |
Dr. Jack Lynn Neely, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1010 N 21st St, Newark, OH 43055 Phone: 740-366-5050 Fax: 740-366-4149 |