Dr Kimberly S Castellucci, OD | |
99 7th St, Wellsburg, WV 26070-1656 | |
(304) 737-3440 | |
Not Available |
Full Name | Dr Kimberly S Castellucci |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 99 7th St, Wellsburg, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023126018 | NPI | - | NPPES |
009235370 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1082-OD (West Virginia) | Primary |
Provider Name | Visionworks Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1063579837 PECOS PAC ID: 4385639616 Enrollment ID: O20050628000780 |
Provider Name | Eyetique Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1316956030 PECOS PAC ID: 6002090107 Enrollment ID: O20110414000546 |
Mailing Address | Practice Location Address |
---|---|
Dr Kimberly S Castellucci, OD 9 Maple Ave, Wheeling, WV 26003-5732 Ph: (757) 403-2405 | Dr Kimberly S Castellucci, OD 99 7th St, Wellsburg, WV 26070-1656 Ph: (304) 737-3440 |
Adrienne Melgary, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 99 7th St, Wellsburg, WV 26070 Phone: 304-737-3440 Fax: 304-737-4042 | |
Wellsburg Vision Clinic Optometrist Medicare: Medicare Enrolled Practice Location: 99 7th St, Wellsburg, WV 26070 Phone: 304-737-3440 | |
Adrienne Melgary Optometrist Medicare: Not Enrolled in Medicare Practice Location: 99 7th St, Wellsburg, WV 26070 Phone: 304-737-3440 Fax: 304-737-4042 |