|
| |
|
601 N Courthouse Rd, Richmond, VA 23236-4062 | |
| (804) 858-2020 | |
| Not Available |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 601 N Courthouse Rd, Richmond, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235286402 | NPI | - | NPPES |
| 196402 | Other | VA | ANTHEM BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 0618000736 (Virginia) | Primary |
| Provider Name | Eric P Nilsen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558307710 PECOS PAC ID: 5597859264 Enrollment ID: I20070926000220 |
| Provider Name | Alexandra C Nilsen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447296728 PECOS PAC ID: 5698869501 Enrollment ID: I20071029000196 |
| Provider Name | Craig D Perry |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063567816 PECOS PAC ID: 7719965284 Enrollment ID: I20080605000377 |
| Provider Name | Erin Mccabe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558524405 PECOS PAC ID: 1759440407 Enrollment ID: I20100120000610 |
| Provider Name | Kristen D Jarrell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790097830 PECOS PAC ID: 2668616871 Enrollment ID: I20130910000066 |
| Provider Name | John Anthony Stacy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710310875 PECOS PAC ID: 6406085216 Enrollment ID: I20140127000783 |
| Provider Name | Tonya R Carter |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548316201 PECOS PAC ID: 2769609650 Enrollment ID: I20140818001065 |
| Provider Name | Madeline Therese Junker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194340463 PECOS PAC ID: 0345662193 Enrollment ID: I20200624000368 |
| Provider Name | Kyra Dorgeloh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437712767 PECOS PAC ID: 3375872245 Enrollment ID: I20201119001995 |
| Provider Name | Jodi Ann Vaughn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871535070 PECOS PAC ID: 7911351804 Enrollment ID: I20230926003344 |
| Provider Name | Yustina Chaeyeon Kang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063254175 PECOS PAC ID: 0749711232 Enrollment ID: I20241008003837 |
| Mailing Address | Practice Location Address |
|---|---|
601 N Courthouse Rd, Richmond, VA 23236-4062 Ph: (804) 858-2020 | 601 N Courthouse Rd, Richmond, VA 23236-4062 Ph: (804) 858-2020 |
Raihana Sherdil, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 400 Westhampton Sta, Richmond, VA 23226 Phone: 804-287-4200 | |
Sarah C. Duval, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 901 E. Byrd Street, Suite 160a, Richmond, VA 23219 Phone: 804-780-0359 | |
Dr. Gregg Alan Baldwin, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11500 Midlothian Turnpike, Suite #716b, Richmond, VA 23235 Phone: 804-897-5542 | |
Dr. Joseph Jerome Allen, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3601 Grove Ave, Richmond, VA 23221 Phone: 804-353-3937 | |
Dr. Marissa Elaine Albert, OD Optometrist Medicare: Medicare Enrolled Practice Location: 7000 Forest Ave, Richmond, VA 23230 Phone: 804-253-9778 | |
Dr. Laurel E/ Loukx, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5419 Patterson Ave, Richmond, VA 23226 Phone: 804-285-7638 Fax: 804-285-2107 | |
Dr. Richard N Douglas, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10431 Patterson Ave, Richmond, VA 23238 Phone: 804-217-6363 Fax: 804-217-6400 |