Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 3297 Broad St., Exmore, Virginia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932299492 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | John Foley |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1194794289 PECOS PAC ID: 1052433976 Enrollment ID: I20110125000172 |
Mailing Address | Practice Location Address |
---|---|
Po Box 687, Exmore, VA 23350-0687 Ph: (757) 442-3937 | 3297 Broad St., Exmore, VA 23350 Ph: (757) 442-3937 |