Patrick County Eye Associates Pc | |
797 Woodland Dr, Suite 101, Stuart, VA 24171-5132 | |
(276) 694-7126 | |
(276) 694-7449 |
Full Name | Patrick County Eye Associates Pc |
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Type | Facility |
Speciality | Optometrist |
Location | 797 Woodland Dr, Stuart, Virginia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932450608 | NPI | - | NPPES |
009230602 | Medicaid | VA | |
009230611 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 0618000924 (Virginia) | Primary |
152W00000X | Optometrist | 0618000179 (Virginia) | Secondary |
Provider Name | Jorge G Gonzalez |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1124094107 PECOS PAC ID: 4880776848 Enrollment ID: I20120126000379 |
Provider Name | James Arlie Law |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1477529527 PECOS PAC ID: 5799867750 Enrollment ID: I20120126000401 |
Mailing Address | Practice Location Address |
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Patrick County Eye Associates Pc Po Box 969, Stuart, VA 24171-0969 Ph: (276) 694-7126 | Patrick County Eye Associates Pc 797 Woodland Dr, Suite 101, Stuart, VA 24171-5132 Ph: (276) 694-7126 |
Dr. Jorge G. Gonzalez, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 797 Woodland Dr., Suite 101, Stuart, VA 24171 Phone: 276-694-7126 Fax: 276-694-7449 | |
Drs. Law And Gonzalez Optometrist Medicare: Not Enrolled in Medicare Practice Location: 797 Woodland Dr., Suite 101, Stuart, VA 24171 Phone: 276-694-7126 Fax: 276-694-7449 | |
Dr. James A. Law, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 797 Woodland Dr., Suite 101, Stuart, VA 24171 Phone: 276-694-7126 Fax: 276-694-7449 |