Gobinda Pangeni, | |
521 Webster Street, South Boston, VA 24592 | |
(434) 572-9500 | |
Not Available |
Full Name | Gobinda Pangeni |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 521 Webster Street, South Boston, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023708054 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 18004412A (Indiana) | Secondary |
152W00000X | Optometrist | 0618003451 (Virginia) | Primary |
Provider Name | City Optical Co Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003805185 PECOS PAC ID: 5597668574 Enrollment ID: O20040128000867 |
Mailing Address | Practice Location Address |
---|---|
Gobinda Pangeni, Po Box 45923, Baltimore, MD 21297-5923 Ph: (434) 385-5600 | Gobinda Pangeni, 521 Webster Street, South Boston, VA 24592 Ph: (434) 572-9500 |
Halifax Eye Care Center Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 521 Webster St, South Boston, VA 24592 Phone: 434-572-9500 Fax: 434-575-1333 | |
Michael Kent Haskett, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2047 Hamilton Blvd, South Boston, VA 24592 Phone: 434-572-9733 Fax: 434-572-9736 | |
Dr Edward E Crowe Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1328 Seymour Dr, South Boston, VA 24592 Phone: 434-575-7360 Fax: 434-575-7618 | |
Clyde F Peer, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 521 Webster St, South Boston, VA 24592 Phone: 434-572-9500 Fax: 434-575-1333 | |
Dr. Edward Evans Crowe, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1328 Seymour Dr, South Boston, VA 24592 Phone: 434-575-7360 Fax: 434-575-7618 |