Dominion Eye Associates | |
1825 Graves Mill Rd, Forest, VA 24551-3967 | |
(434) 385-5600 | |
(434) 385-1414 |
Full Name | Dominion Eye Associates |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 1825 Graves Mill Rd, Forest, Virginia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306950431 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Binoy R Jani |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1548222557 PECOS PAC ID: 9436137346 Enrollment ID: I20040708000588 |
Provider Name | Daniel None Kingsley |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1417063744 PECOS PAC ID: 8921078783 Enrollment ID: I20040728001632 |
Provider Name | Paul J Palisano |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1861408858 PECOS PAC ID: 5799758454 Enrollment ID: I20040819000728 |
Provider Name | Michael K Haskett |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1215926647 PECOS PAC ID: 2365498441 Enrollment ID: I20050323000184 |
Provider Name | Michael W Curl |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1750498135 PECOS PAC ID: 0345343414 Enrollment ID: I20070309000222 |
Provider Name | Billy D Haley |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1285656082 PECOS PAC ID: 3870699366 Enrollment ID: I20070430000272 |
Provider Name | David M Harman |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1548282221 PECOS PAC ID: 5395735542 Enrollment ID: I20070511000018 |
Provider Name | Christopher R Testa |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1255581997 PECOS PAC ID: 5193870079 Enrollment ID: I20090827000858 |
Provider Name | Brian D Looney |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1144355140 PECOS PAC ID: 1759302599 Enrollment ID: I20091023000384 |
Provider Name | Kurt K Devito |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1780630863 PECOS PAC ID: 1355480864 Enrollment ID: I20091123000213 |
Provider Name | Richard A Martin |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1871521401 PECOS PAC ID: 0446399950 Enrollment ID: I20091123000235 |
Provider Name | Mark J Morris |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1689672685 PECOS PAC ID: 7012928989 Enrollment ID: I20100427000698 |
Provider Name | Michel P Kish |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1336257989 PECOS PAC ID: 4486782125 Enrollment ID: I20100517000597 |
Provider Name | Fredric Gross |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1184629271 PECOS PAC ID: 7911050349 Enrollment ID: I20100813000097 |
Provider Name | Steven Keith Snyder |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1427053149 PECOS PAC ID: 1052465002 Enrollment ID: I20100818000888 |
Provider Name | Akshay Dave |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1366420358 PECOS PAC ID: 0749173060 Enrollment ID: I20100819000909 |
Provider Name | Landon Colling |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1952517187 PECOS PAC ID: 1759406655 Enrollment ID: I20100915001090 |
Provider Name | John A Stefano |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1962469270 PECOS PAC ID: 0941194948 Enrollment ID: I20101026001120 |
Provider Name | Nancy Eisele |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1952318370 PECOS PAC ID: 8325139405 Enrollment ID: I20110228000722 |
Provider Name | David A Mohrman |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1144309238 PECOS PAC ID: 1658553250 Enrollment ID: I20110302001019 |
Provider Name | David Clauss |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1225112147 PECOS PAC ID: 1052584554 Enrollment ID: I20111028000144 |
Provider Name | Robert W Jacey |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1043291511 PECOS PAC ID: 2567625072 Enrollment ID: I20120521000396 |
Provider Name | Elizabeth J Mclaughlin |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1487068599 PECOS PAC ID: 5991028052 Enrollment ID: I20141220000176 |
Provider Name | Jessie Michelle Pierce |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1083076400 PECOS PAC ID: 7315232378 Enrollment ID: I20160830000911 |
Provider Name | Peter J. Sheridan |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1386741296 PECOS PAC ID: 3971652538 Enrollment ID: I20161205001160 |
Provider Name | Rishi Parikh |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1285818443 PECOS PAC ID: 1850568460 Enrollment ID: I20170811000719 |
Provider Name | A'sha Mable Brown |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1255674719 PECOS PAC ID: 7810266574 Enrollment ID: I20180611000005 |
Provider Name | Lauren L Richards |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1295014256 PECOS PAC ID: 9537339403 Enrollment ID: I20190812001588 |
Provider Name | Odette Callender |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1053421552 PECOS PAC ID: 2163601642 Enrollment ID: I20200416000977 |
Provider Name | Catherine Baston |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1992952865 PECOS PAC ID: 2163555962 Enrollment ID: I20200519000092 |
Provider Name | Michael Bert |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1306844261 PECOS PAC ID: 5991998874 Enrollment ID: I20200522000419 |
Provider Name | Kevin Lowder |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1619330586 PECOS PAC ID: 9638443062 Enrollment ID: I20200727000639 |
Provider Name | Emily A Bennett |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1245856970 PECOS PAC ID: 3779909536 Enrollment ID: I20200811003732 |
Provider Name | Paul C Keenan |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1588671879 PECOS PAC ID: 7911988183 Enrollment ID: I20201204001852 |
Provider Name | David East |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1235147364 PECOS PAC ID: 6406153626 Enrollment ID: I20210121002718 |
Provider Name | Amanda G Deasy |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1912324708 PECOS PAC ID: 3476829011 Enrollment ID: I20210125000363 |
Provider Name | Stacey Carabello |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1568815496 PECOS PAC ID: 5092000927 Enrollment ID: I20210505001132 |
Provider Name | Kristyn Marie Clifton |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1841878782 PECOS PAC ID: 8921407768 Enrollment ID: I20210526003454 |
Provider Name | Erica Jill Bobb |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1770104549 PECOS PAC ID: 8426458712 Enrollment ID: I20210608001251 |
Provider Name | Richard Edwin Walker |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1144847500 PECOS PAC ID: 0345644514 Enrollment ID: I20210810002544 |
Provider Name | Ankur Rajendra Patel |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1801412341 PECOS PAC ID: 4486058427 Enrollment ID: I20210812001689 |
Provider Name | Andrew Davis |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1700273539 PECOS PAC ID: 9931439551 Enrollment ID: I20210917001600 |
Provider Name | Karmen Holdinghausen |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1124028097 PECOS PAC ID: 3779558267 Enrollment ID: I20211112000641 |
Provider Name | Adriana Medina |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1760864565 PECOS PAC ID: 1052629227 Enrollment ID: I20220316002803 |
Provider Name | Jennifer Fishel |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1770584567 PECOS PAC ID: 7517033194 Enrollment ID: I20221205000989 |
Provider Name | Timothy Bradshaw |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1457704256 PECOS PAC ID: 5698046605 Enrollment ID: I20230619001878 |
Provider Name | Hussam Banna |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1750810958 PECOS PAC ID: 9234557737 Enrollment ID: I20230824001340 |
Provider Name | Tam Dang |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1184821803 PECOS PAC ID: 4486898947 Enrollment ID: I20230908003433 |
Provider Name | Brice Hwang |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1205362993 PECOS PAC ID: 1850664509 Enrollment ID: I20240209003428 |
Provider Name | Brad Ballard |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1437386737 PECOS PAC ID: 3173743242 Enrollment ID: I20240213000770 |
Provider Name | Will Sawyer |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1467019638 PECOS PAC ID: 0941639074 Enrollment ID: I20240304001221 |
Provider Name | Jewel Lisa Sandy |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1578833802 PECOS PAC ID: 8628228061 Enrollment ID: I20240410001753 |
Provider Name | Bette Anderson |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1386612927 PECOS PAC ID: 1052362316 Enrollment ID: I20240423004485 |
Mailing Address | Practice Location Address |
---|---|
Dominion Eye Associates Po Box 45923, Baltimore, MD 21297-5923 Ph: (877) 969-0392 | Dominion Eye Associates 1825 Graves Mill Rd, Forest, VA 24551-3967 Ph: (434) 385-5600 |