Grifasi Eyecare And Optical, Inc. | |
17252 N Village Main Blvd, Unit 6, Lewes, DE 19958-6292 | |
(302) 644-1039 | |
Not Available |
Full Name | Grifasi Eyecare And Optical, Inc. |
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Type | Facility |
Speciality | Optometrist |
Location | 17252 N Village Main Blvd, Lewes, Delaware |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154357598 | NPI | - | NPPES |
1000035225 | Medicaid | DE |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Richard Salvatore Grifasi |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1881698116 PECOS PAC ID: 9739071044 Enrollment ID: I20101019000997 |
Mailing Address | Practice Location Address |
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Grifasi Eyecare And Optical, Inc. 17252 N Village Main Blvd, Unit 6, Lewes, DE 19958-6292 Ph: (302) 644-1039 | Grifasi Eyecare And Optical, Inc. 17252 N Village Main Blvd, Unit 6, Lewes, DE 19958-6292 Ph: (302) 644-1039 |
Thomas George Bastholm, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1540 Savannah Rd, Lewes, DE 19958 Phone: 302-645-2020 Fax: 302-645-2223 | |
Richard Salvatore Grifasi, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 17425 Ocean One Plaza, Unit 2, Lewes, DE 19958 Phone: 302-644-1039 |