| West Milton Vision Center, Llc | |
|
1105 S Miami St, West Milton, OH 45383-1262 | |
| (937) 698-5171 | |
| (937) 698-3600 |
| Full Name | West Milton Vision Center, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1105 S Miami St, West Milton, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255913190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Clifton Wayne Poling |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770560872 PECOS PAC ID: 1557490356 Enrollment ID: I20100603000145 |
| Provider Name | Gregory James Stucke |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689982704 PECOS PAC ID: 4082874607 Enrollment ID: I20120319000765 |
| Provider Name | Kacie L Stucke |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568778702 PECOS PAC ID: 7911132238 Enrollment ID: I20131022001729 |
| Provider Name | Megan C Bertke |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831768548 PECOS PAC ID: 1658773882 Enrollment ID: I20210712001156 |
| Provider Name | Jason M Dunne |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467234542 PECOS PAC ID: 0042746976 Enrollment ID: I20241216000864 |
| Mailing Address | Practice Location Address |
|---|---|
| West Milton Vision Center, Llc 1105 S Miami St, West Milton, OH 45383-1262 Ph: (937) 698-5171 | West Milton Vision Center, Llc 1105 S Miami St, West Milton, OH 45383-1262 Ph: (937) 698-5171 |
West Milton Vision Center, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 21 North Milton Street, West Milton, OH 45383 Phone: 937-698-5171 Fax: 937-698-3600 | |
Dr. Clifton Wayne Poling, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 21 N Miami St, West Milton, OH 45383 Phone: 937-698-5171 Fax: 937-698-3600 | |
Megan Cecilia Bertke, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 21 N Miami St, West Milton, OH 45383 Phone: 937-698-5171 |