Dr Ganesan Sivaguru, OD | |
3556a S Jefferson St, Baileys Crossroads, VA 22041-3119 | |
(703) 379-1100 | |
Not Available |
Full Name | Dr Ganesan Sivaguru |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 3556a S Jefferson St, Baileys Crossroads, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043696305 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 0618002463 (Virginia) | Primary |
152WC0802X | Optometrist - Corneal And Contact Management | 0618002463 (Virginia) | Secondary |
Provider Name | Daniel Poth, O.d. And Associates, P.c. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1154354041 PECOS PAC ID: 0547155806 Enrollment ID: O20040217000431 |
Mailing Address | Practice Location Address |
---|---|
Dr Ganesan Sivaguru, OD 201 Shannon Ct, Salisbury, MD 21804-1974 Ph: () - | Dr Ganesan Sivaguru, OD 3556a S Jefferson St, Baileys Crossroads, VA 22041-3119 Ph: (703) 379-1100 |
Dr. Christopher John Renner, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5653 Columbia Pike, Suite 101, Baileys Crossroads, VA 22041 Phone: 703-578-3600 Fax: 703-379-6089 | |
Dr. Gregory Luke Johnson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5503 Leesburg Pike, Baileys Crossroads, VA 22041 Phone: 571-483-4030 | |
Dr Ralph A Swetlow Ltd Optometrist Medicare: Medicare Enrolled Practice Location: 5653 Columbia Pike, Baileys Crossroads, VA 22041 Phone: 703-578-3600 Fax: 703-369-7089 | |
Dr. Robin Rinearson, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5653 Columbia Pk, Baileys Crossroads, VA 22041 Phone: 703-578-3600 Fax: 703-379-6089 | |
Dr. William Dodge Perry, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5653 Columbia Pike Ste 101, Baileys Crossroads, VA 22041 Phone: 703-578-3600 Fax: 703-379-6089 | |
Dr. Alexa Kylie Vinh, OD Optometrist Medicare: Medicare Enrolled Practice Location: 5653 Columbia Pike Ste 101, Baileys Crossroads, VA 22041 Phone: 703-578-3600 Fax: 703-379-6089 |