Mrs Patricia Anderson, OD | |
2003 Commerce Dr, Kingsland, GA 31548-6767 | |
(912) 882-3040 | |
(912) 882-3786 |
Full Name | Mrs Patricia Anderson |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 2003 Commerce Dr, Kingsland, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063601128 | NPI | - | NPPES |
003150919A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152WL0500X | Optometrist - Low Vision Rehabilitation | WY222T (Wyoming) | Secondary |
152W00000X | Optometrist | OPT002807 (Georgia) | Primary |
Provider Name | Mobile Medical Eye Care Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1629680830 PECOS PAC ID: 6800213380 Enrollment ID: O20200828001372 |
Provider Name | 360care Services Of Georgia Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1871353599 PECOS PAC ID: 5991145112 Enrollment ID: O20240503002507 |
Mailing Address | Practice Location Address |
---|---|
Mrs Patricia Anderson, OD 1950 Old Gallows Rd, Suite 520, Vienna, VA 22182-3990 Ph: (703) 847-8899 | Mrs Patricia Anderson, OD 2003 Commerce Dr, Kingsland, GA 31548-6767 Ph: (912) 882-3040 |
Dr. Anthony Arthur Weaver, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2003 Commerce Dr, Kingsland, GA 31548 Phone: 912-882-3040 Fax: 912-882-3786 | |
Katie Boeskool, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2003 Commerce Dr, Kingsland, GA 31548 Phone: 912-882-3040 Fax: 912-882-3786 | |
Dr. Julie Ann Wright, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1891 Ga Highway 40 E, Suite 1108, Kingsland, GA 31548 Phone: 912-576-8980 Fax: 912-576-8842 | |
Robert Houghteling, O.d., P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 1601 Hwy 40 E, Suite N, Kingsland, GA 31548 Phone: 912-729-8300 | |
Myeyedr. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2003 Commerce Dr, Kingsland, GA 31548 Phone: 912-882-3040 Fax: 912-882-3786 | |
Wright Eye Care, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 1891 Ga Highway 40 E, Suite 1108, Kingsland, GA 31548 Phone: 912-576-8980 Fax: 912-576-8842 |