Caroline Elizabeth Wanner, OD | |
1322 Jamestown Rd, Williamsburg, VA 23185-3321 | |
(703) 499-3449 | |
Not Available |
Full Name | Caroline Elizabeth Wanner |
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Gender | Female |
Speciality | Optometrist |
Location | 1322 Jamestown Rd, Williamsburg, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487340212 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 0618003248 (Virginia) | Primary |
Provider Name | Eastern Eye Associates, Inc. Optometrists |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1790852986 PECOS PAC ID: 7911043021 Enrollment ID: O20091002000522 |
Mailing Address | Practice Location Address |
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Caroline Elizabeth Wanner, OD 1322 Jamestown Rd, Williamsburg, VA 23185-3321 Ph: (703) 499-3449 | Caroline Elizabeth Wanner, OD 1322 Jamestown Rd, Williamsburg, VA 23185-3321 Ph: (703) 499-3449 |
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