Georgietta R Gdovin, OD | |
101 Montgomery Mall, North Wales, PA 19454 | |
(215) 361-2400 | |
(215) 361-0917 |
Full Name | Georgietta R Gdovin |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 101 Montgomery Mall, North Wales, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518060482 | NPI | - | NPPES |
001954598 0008 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OEG000359 (Pennsylvania) | Primary |
Provider Name | Visual Eyes |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1982663548 PECOS PAC ID: 8527019538 Enrollment ID: O20050208000280 |
Provider Name | Gretchen J Brewer Od & Associates Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1386731727 PECOS PAC ID: 3173561255 Enrollment ID: O20050419001393 |
Mailing Address | Practice Location Address |
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Georgietta R Gdovin, OD 101 Montgomery Mall, North Wales, PA 19454-3903 Ph: (215) 361-2400 | Georgietta R Gdovin, OD 101 Montgomery Mall, North Wales, PA 19454 Ph: (215) 361-2400 |
Laurie Simmonds, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 26 Airport Square Shopping Center, North Wales, PA 19454 Phone: 215-362-1177 | |
Dr. Jeffrey L Varner, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 116 S Main St, North Wales, PA 19454 Phone: 215-699-2020 Fax: 215-699-2020 | |
Dr. Ira Lippman, OD Optometrist Medicare: Medicare Enrolled Practice Location: 205 Montgomery Mall, North Wales, PA 19454 Phone: 215-362-2241 Fax: 215-362-8696 | |
Christopher James Pentes, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1460 Bethlehem Pike Ste 230, North Wales, PA 19454 Phone: 215-631-8996 Fax: 445-544-9189 | |
Dr. Alan Marc Rosenberg, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 26 Airport Sq, North Wales, PA 19454 Phone: 215-362-1177 Fax: 215-362-7026 | |
Dr. Mark Richard Bolstein, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 600 Montgomery Mall, North Wales, PA 19454 Phone: 215-361-8282 Fax: 215-362-0528 | |
Dr. Juhee J Hwang, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 740 Upper State Rd, North Wales, PA 19454 Phone: 215-353-4164 Fax: 215-353-4165 |