Dr Bradley Mart Lane, OD | |
700 Wenonah Ave, Pearisburg, VA 24134-1638 | |
(540) 921-4116 | |
Not Available |
Full Name | Dr Bradley Mart Lane |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 17 Years |
Location | 700 Wenonah Ave, Pearisburg, Virginia |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255539607 | NPI | - | NPPES |
3810010275 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 0618001654 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
New River Eye Care Family Optometry Pc | 7618152950 | 4 |
Appalachian Eye Care Inc | 1951588730 | 5 |
Provider Name | New River Eye Care Family Optometry Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1750672622 PECOS PAC ID: 7618152950 Enrollment ID: O20110429000485 |
Mailing Address | Practice Location Address |
---|---|
Dr Bradley Mart Lane, OD 111 Ridgeway Dr, Princeton, WV 24740-9775 Ph: (304) 546-2902 | Dr Bradley Mart Lane, OD 700 Wenonah Ave, Pearisburg, VA 24134-1638 Ph: (540) 921-4116 |
New River Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 700 Wenonah Ave, Pearisburg, VA 24134 Phone: 540-921-4116 Fax: 540-921-4118 | |
Clarity Eye Care, Plc Optometrist Medicare: Medicare Enrolled Practice Location: 122 Tazewell St, Pearisburg, VA 24134 Phone: 540-921-3921 Fax: 540-921-1328 | |
Blake Hopkins, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 206 Kinter Way, Pearisburg, VA 24134 Phone: 540-921-4116 Fax: 540-921-4119 | |
Dr. Daniel Layne Bowling, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 122 Tazewell St, Pearisburg, VA 24134 Phone: 540-921-3921 Fax: 540-921-1328 | |
Mr. Nickolas Wilson Clark, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 122 Tazewell St, Pearisburg, VA 24134 Phone: 540-921-3921 Fax: 540-921-1328 | |
New River Eye Care Family Optometry Pc Optometrist Medicare: Medicare Enrolled Practice Location: 206 Kinter Way, Pearisburg, VA 24134 Phone: 540-921-4116 Fax: 540-921-4118 |