| |
11847 Aspengraf Ln Ste A, New Kent, VA 23124-2130 | |
(804) 932-6225 | |
(804) 557-0185 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 11847 Aspengraf Ln Ste A, New Kent, Virginia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356991830 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Andrew A Ambrose |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1588841233 PECOS PAC ID: 5294893145 Enrollment ID: I20081021000497 |
Provider Name | Tori N Pierce |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1851158901 PECOS PAC ID: 2769924695 Enrollment ID: I20240606004372 |
Mailing Address | Practice Location Address |
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3300 Reades Way, Williamsburg, VA 23185-2425 Ph: (215) 901-1348 | 11847 Aspengraf Ln Ste A, New Kent, VA 23124-2130 Ph: (804) 932-6225 |