Mary Washington Eye Care Center, Llc | |
4710 Spotsylvania Pkwy, Fredericksburg, VA 22407-9433 | |
(540) 741-2733 | |
Not Available |
Full Name | Mary Washington Eye Care Center, Llc |
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Type | Facility |
Speciality | Ophthalmology |
Location | 4710 Spotsylvania Pkwy, Fredericksburg, Virginia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720301625 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Diemngoc Dang |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1215927629 PECOS PAC ID: 0749178382 Enrollment ID: I20050812000961 |
Provider Name | Massoum Moayery |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1003923665 PECOS PAC ID: 9436291598 Enrollment ID: I20100127000835 |
Provider Name | Helen Song |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1417251331 PECOS PAC ID: 9931385523 Enrollment ID: I20110516000742 |
Provider Name | Chinweuba Obi |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1548638810 PECOS PAC ID: 2062720543 Enrollment ID: I20200610001025 |
Provider Name | Chelsea Mathis |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1386925279 PECOS PAC ID: 8820389018 Enrollment ID: I20220324002382 |
Provider Name | Esther Osuji |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1750944559 PECOS PAC ID: 1658791264 Enrollment ID: I20240222002626 |
Provider Name | Mohamed El-hussein Sharaby |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1528293594 PECOS PAC ID: 3173751971 Enrollment ID: I20240416003727 |
Provider Name | Cheryl Lee |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1053611400 PECOS PAC ID: 4789803842 Enrollment ID: I20240708002252 |
Provider Name | Kiera Hagan |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1144894452 PECOS PAC ID: 5294118634 Enrollment ID: I20240924003060 |
Provider Name | Dustin Wasylik |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1083027346 PECOS PAC ID: 3173833753 Enrollment ID: I20241009003479 |
Provider Name | James Savage |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1851395446 PECOS PAC ID: 0446341457 Enrollment ID: I20241024000769 |
Mailing Address | Practice Location Address |
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Mary Washington Eye Care Center, Llc 2300 Fall Hill Ave, Suite 509, Fredericksburg, VA 22401-3342 Ph: (540) 741-1821 | Mary Washington Eye Care Center, Llc 4710 Spotsylvania Pkwy, Fredericksburg, VA 22407-9433 Ph: (540) 741-2733 |