Gordon W. Jennings Od Pc | |
310 E Main St, Wytheville, VA 24382-2326 | |
(276) 228-2771 | |
(276) 228-9097 |
Full Name | Gordon W. Jennings Od Pc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 310 E Main St, Wytheville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669535050 | NPI | - | NPPES |
410001097 | Other | VA | MEDICARE # DR. GRAU (SECOND DOCTOR IN PRACTICE) |
009234268 | Medicaid | VA | |
079556 | Other | VA | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 0618000167 (Virginia) | Primary |
Provider Name | Gordan W Jennings |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1669435533 PECOS PAC ID: 9638219496 Enrollment ID: I20091229000644 |
Mailing Address | Practice Location Address |
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Gordon W. Jennings Od Pc 310 E Main St, Wytheville, VA 24382-2326 Ph: (276) 228-2771 | Gordon W. Jennings Od Pc 310 E Main St, Wytheville, VA 24382-2326 Ph: (276) 228-2771 |
Jonathan Keen, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 530 W Ridge Rd, Wytheville, VA 24382 Phone: 276-223-0033 Fax: 276-223-0327 | |
Dr. Cynthia Dawn Inman, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 530 W Ridge Rd, Wytheville, VA 24382 Phone: 276-223-0033 | |
Dr. Stephen Fredrick Lord, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 530w Ridge Rd, Wytheville, VA 24382 Phone: 276-223-0033 Fax: 276-223-0327 | |
Sarah Elizabeth Anderson, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 530 W Ridge Rd, Wytheville, VA 24382 Phone: 276-223-0033 | |
Mrs. Chelsea Elizabeth Rasnick, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 310 E Main St, Wytheville, VA 24382 Phone: 276-228-2771 | |
Alexandra E Schwab, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 530 W Ridge Rd, Wytheville, VA 24382 Phone: 276-223-0033 | |
Wythe Eye Associates Amanda Brewer-smith Od Inc Optometrist Medicare: Medicare Enrolled Practice Location: 530 W Ridge Rd, Wytheville, VA 24382 Phone: 276-223-0033 Fax: 276-223-0327 |