Petersburg Family Eye Care | |
44 Medical Park Blvd, Ste H, Petersburg, VA 23805-9349 | |
(804) 898-3373 | |
(804) 479-3775 |
Full Name | Petersburg Family Eye Care |
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Type | Facility |
Speciality | Optometrist |
Location | 44 Medical Park Blvd, Petersburg, Virginia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396949046 | NPI | - | NPPES |
010315891 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 0618000693 (Virginia) | Primary |
Provider Name | Patricia L Testamark |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1902808710 PECOS PAC ID: 1355392010 Enrollment ID: I20050211000042 |
Mailing Address | Practice Location Address |
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Petersburg Family Eye Care 44 Medical Park Blvd, Ste H, Petersburg, VA 23805-9349 Ph: (804) 898-3373 | Petersburg Family Eye Care 44 Medical Park Blvd, Ste H, Petersburg, VA 23805-9349 Ph: (804) 898-3373 |
Legacy Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 3500 S Crater Rd, Petersburg, VA 23805 Phone: 804-861-2020 Fax: 804-861-2115 | |
Dr. Ajit D Tiwari, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 300 S Sycamore St, Petersburg, VA 23803 Phone: 804-732-5481 Fax: 804-732-8675 | |
Marron, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 49 Morton Ave, Petersburg, VA 23805 Phone: 804-732-2020 Fax: 804-732-0470 | |
Ajit D. Tiwari, O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 300 S Sycamore St, Petersburg, VA 23803 Phone: 804-732-5481 | |
Dr. Robert Joaquin Foster, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 3500 S Crater Rd, Petersburg, VA 23805 Phone: 804-861-2020 Fax: 804-861-2115 | |
Crater Vision Inc Optometrist Medicare: Medicare Enrolled Practice Location: 3333 S Crater Rd Ste 2d, Petersburg, VA 23805 Phone: 804-732-3937 Fax: 807-733-6005 |