| Vision Source Meadville, Llc | |
|
1073 S Main St, Meadville, PA 16335-3129 | |
| (814) 333-6606 | |
| (814) 333-6616 |
| Full Name | Vision Source Meadville, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1073 S Main St, Meadville, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134475007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OEG000417 (Pennsylvania) | Primary |
| Provider Name | Gary D Hawk |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295890689 PECOS PAC ID: 3072559152 Enrollment ID: I20050629000157 |
| Provider Name | Scott A Kennedy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922060599 PECOS PAC ID: 9436248721 Enrollment ID: I20071210000511 |
| Provider Name | Christopher Adsit |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477627727 PECOS PAC ID: 3577640960 Enrollment ID: I20080409000590 |
| Provider Name | Dustin Mitchell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912210527 PECOS PAC ID: 7315166998 Enrollment ID: I20140912001313 |
| Mailing Address | Practice Location Address |
|---|---|
| Vision Source Meadville, Llc 1073 S Main St, Meadville, PA 16335-3129 Ph: (814) 333-6606 | Vision Source Meadville, Llc 1073 S Main St, Meadville, PA 16335-3129 Ph: (814) 333-6606 |
Dr. Michael P. Walker, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1039 Park Ave, Meadville, PA 16335 Phone: 814-724-2020 Fax: 814-337-1150 | |
Dr. Brandon Butters, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1039 Park Ave, Meadville, PA 16335 Phone: 814-724-2020 | |
Family Optical Center Pc Optometrist Medicare: Medicare Enrolled Practice Location: 900 Water St, Downtown Mall, Meadville, PA 16335 Phone: 814-336-6353 Fax: 814-336-6354 | |
John C Alexander, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 830 Market St, Meadville, PA 16335 Phone: 814-724-2700 Fax: 814-724-2705 | |
Lisa Moffitt, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 16086 Conneaut Lake Rd, Walmart Vision Center, Meadville, PA 16335 Phone: 816-337-4426 Fax: 814-337-4320 | |
Gregory A Griffith, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 424 North St, Meadville, PA 16335 Phone: 814-724-7630 Fax: 814-724-8402 |