Mrs Kimberly R Bristow, OD | |
1 Centurian Dr, Suite 114, Newark, DE 19713-2137 | |
(302) 993-0722 | |
(302) 993-0754 |
Full Name | Mrs Kimberly R Bristow |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 27 Years |
Location | 1 Centurian Dr, Newark, Delaware |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669430211 | NPI | - | NPPES |
116251900 | Medicaid | MD | |
0000542402 | Medicaid | DE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 13-0001241 (Delaware) | Primary |
152W00000X | Optometrist | TA1463 (Maryland) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Douglas J Lavenburg Md Pa | 3476549098 | 5 |
Douglas J Lavenburg Md Pa | 3476549098 | 5 |
Provider Name | Douglas J Lavenburg Md Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1831276385 PECOS PAC ID: 3476549098 Enrollment ID: O20040421000282 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kimberly R Bristow, OD 103 Chesapeake Blvd, Ste C, Elkton, MD 21921 Ph: (410) 392-4976 | Mrs Kimberly R Bristow, OD 1 Centurian Dr, Suite 114, Newark, DE 19713-2137 Ph: (302) 993-0722 |
Dr. Paul C Mitchell, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4102 Ogletown Stanton Rd, Ste 1, Newark, DE 19713 Phone: 302-454-8800 | |
Dr. Lawrence Joseph Kruse, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1106 Drummond Plaza, Newark, DE 19711 Phone: 302-731-7132 Fax: 302-731-7132 | |
Dr. Anh Quynh Volzone, OD Optometrist Medicare: Medicare Enrolled Practice Location: 99 Newark Shopping Ctr, Newark, DE 19711 Phone: 302-239-1993 | |
Dr. Amy Marie Farrall, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 317 E Main St, Newark, DE 19711 Phone: 302-737-5777 Fax: 302-737-0142 | |
Simon Eye Associates Newark Pa Optometrist Medicare: Medicare Enrolled Practice Location: 45 East Main St, Suite 201, Newark, DE 19711 Phone: 302-224-3000 Fax: 302-224-1524 | |
Dr. Alton Allen Williams, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 100 Christiana Medical Ctr, Newark, DE 19702 Phone: 302-283-1988 Fax: 302-283-1991 | |
Dr. Tarra Justine Winchell, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 19 Haines St, Suite B, Newark, DE 19711 Phone: 302-239-1933 |