| Dr Beverly Anne Gough, OD | |
|
1950 Old Gallows Rd, Suite 520, Vienna, VA 22182-3990 | |
| (703) 847-8899 | |
| (703) 991-0514 |
| Full Name | Dr Beverly Anne Gough |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 1950 Old Gallows Rd, Vienna, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811063142 | NPI | - | NPPES |
| 09311 | Other | NC | BCBS OF NC |
| DE7256 | Other | NC | RAILROAD MEDICARE GROUP |
| 00343 | Other | AL | BLUE CROSS BLUE SHIELD |
| 8909311 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | S-680 TA-388 (Alabama) | Secondary |
| 152W00000X | Optometrist | 1351 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Beverly Anne Gough, OD 1950 Old Gallows Rd, Suite 520, Vienna, VA 22182-3990 Ph: (703) 847-8899 | Dr Beverly Anne Gough, OD 1950 Old Gallows Rd, Suite 520, Vienna, VA 22182-3990 Ph: (703) 847-8899 |
C. Richard Snively, Jr., O.d.,p.c. Optometrist Medicare: Medicare Enrolled Practice Location: 120 Beulah Rd Ne, Vienna, VA 22180 Phone: 703-938-7633 Fax: 703-938-4407 | |
Marjan Keramati, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8359 Leesburg Pike, Vienna, VA 22182 Phone: 703-442-9295 Fax: 703-749-0936 | |
The Lasik Vision Institue, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8614 Westwood Center Dr, Suite 650, Vienna, VA 22182 Phone: 703-734-6030 Fax: 706-243-4627 | |
Frank Cassella, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 401 Maple Ave W, Vienna, VA 22180 Phone: 703-938-5544 Fax: 703-938-5542 | |
Dr. Nicole Marie Ardura, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 120 Beulah Rd Ne, Vienna, VA 22180 Phone: 703-938-7633 Fax: 703-938-4407 | |
Dr. Charles Henry Kinney, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1950 Old Gallows Rd, Suite 520, Vienna, VA 22182 Phone: 703-847-8899 Fax: 703-991-4051 | |
My Eye Dr. Optometrist Medicare: Medicare Enrolled Practice Location: 1950 Old Gallows Rd, Suite 520, Vienna, VA 22182 Phone: 703-847-8899 Fax: 703-991-0514 |