Glen Dale Vision Center | |
12 Wheeling Ave, Glen Dale, WV 26038-1529 | |
(304) 843-1445 | |
(304) 843-1446 |
Full Name | Glen Dale Vision Center |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 12 Wheeling Ave, Glen Dale, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053393645 | NPI | - | NPPES |
001720254 | Other | WV | MOUNTAIN STATE BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 645D (West Virginia) | Primary |
Provider Name | Terry L Williams |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1306922125 PECOS PAC ID: 9537224548 Enrollment ID: I20090206000454 |
Provider Name | Caleb Tennant |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1124258009 PECOS PAC ID: 8820112279 Enrollment ID: I20100908000075 |
Mailing Address | Practice Location Address |
---|---|
Glen Dale Vision Center 12 Wheeling Ave, Glen Dale, WV 26038-1529 Ph: (304) 843-1445 | Glen Dale Vision Center 12 Wheeling Ave, Glen Dale, WV 26038-1529 Ph: (304) 843-1445 |
Dr. Terry L Williams, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 12 Wheeling Ave, Glen Dale, WV 26038 Phone: 304-843-1445 Fax: 304-843-1446 | |
Dr. Patricia Estep Wylie, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1589 Wheeling Ave, Glen Dale, WV 26038 Phone: 304-845-2480 Fax: 304-845-9204 | |
Patricia Estep-wylie Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1589 Wheeling Ave, Glen Dale, WV 26038 Phone: 304-845-2480 Fax: 304-845-9204 |