Dr Jonathan Fugate, OD | |
576 Jefferson Ave, Fort Eustis, VA 23604-1373 | |
(417) 872-7002 | |
Not Available |
Full Name | Dr Jonathan Fugate |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 576 Jefferson Ave, Fort Eustis, Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083270003 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 0618002752 (Virginia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Jonathan Fugate, OD 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: (417) 872-7002 | Dr Jonathan Fugate, OD 576 Jefferson Ave, Fort Eustis, VA 23604-1373 Ph: (417) 872-7002 |
Robin Theresa Collard, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 576 Jefferson Ave, Fort Eustis, VA 23604 Phone: 757-314-7620 | |
Brad Cunningham, OD Optometrist Medicare: Medicare Enrolled Practice Location: 576 Jefferson Ave, Fort Eustis, VA 23604 Phone: 573-147-6207 |