Dr Jeffrey Ian Wynn, OD | |
17614 Main St, Dumfries, VA 22026-2359 | |
(703) 221-3575 | |
(703) 221-4416 |
Full Name | Dr Jeffrey Ian Wynn |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 17614 Main St, Dumfries, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154301190 | NPI | - | NPPES |
009203265 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 0618000150 (Virginia) | Primary |
Provider Name | Jeffrey I Wynn Od Ltd |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1750512257 PECOS PAC ID: 6608920970 Enrollment ID: O20090820000687 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeffrey Ian Wynn, OD 17614 Main St, Dumfries, VA 22026-2359 Ph: (703) 221-3575 | Dr Jeffrey Ian Wynn, OD 17614 Main St, Dumfries, VA 22026-2359 Ph: (703) 221-3575 |
Marie L Nazario, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 17041 Jefferson Davis Hwy, Dumfries, VA 22026 Phone: 703-221-2272 | |
Dr. Audrey Diem Nguyen, VA Optometrist Medicare: Medicare Enrolled Practice Location: 3700 Fettler Park, Dumfries Health Center, Dumfries, VA 22025 Phone: 703-441-7500 | |
Sadia Karim, O.D Optometrist Medicare: Medicare Enrolled Practice Location: 4310 Fortuna Center Plz, Dumfries, VA 22025 Phone: 703-590-6582 | |
Jeffrey I Wynn Od Ltd Optometrist Medicare: Medicare Enrolled Practice Location: 17614 Main St, Dumfries, VA 22026 Phone: 703-221-3575 Fax: 703-221-4416 | |
Advanced Eyecare Consultants Optometrist Medicare: Medicare Enrolled Practice Location: 4310 Fortuna Center Plz, Dumfries, VA 22025 Phone: 703-590-6582 |