Robert Smith Gentile, OD | |
1701 Boulevard Sq, Ste C, Waycross, GA 31501-8021 | |
(912) 283-7171 | |
(912) 284-9183 |
Full Name | Robert Smith Gentile |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 1701 Boulevard Sq, Waycross, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932194313 | NPI | - | NPPES |
115254692C | Medicaid | GA | |
115254692D | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT001677 (Georgia) | Primary |
Provider Name | Eye Associates Of Valdosta |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1851406342 PECOS PAC ID: 8628069341 Enrollment ID: O20040521000143 |
Mailing Address | Practice Location Address |
---|---|
Robert Smith Gentile, OD 3024 N Patterson St, Valdosta, GA 31602-1711 Ph: (229) 247-4114 | Robert Smith Gentile, OD 1701 Boulevard Sq, Ste C, Waycross, GA 31501-8021 Ph: (912) 283-7171 |
Robert S Gentile Enterprise Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1701 Boulevard Sq, Ste C, Waycross, GA 31501 Phone: 912-283-7171 Fax: 912-284-9183 | |
Myeyedr. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2209 Memorial Dr, Waycross, GA 31501 Phone: 912-285-2021 Fax: 912-285-2558 | |
Meredith Yingling Parmelee, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1730 Brunswick Hwy, Waycross, GA 31501 Phone: 912-283-9383 Fax: 912-275-8568 | |
Dr. Henry Howard Brewer Iii, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2209 Memorial Dr, Waycross, GA 31501 Phone: 912-285-2021 Fax: 912-285-2558 | |
Dr. Rodney Howard Brown, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1730 Brunswick Hwy, Waycross, GA 31501 Phone: 912-283-9383 Fax: 912-285-9333 | |
Dr. Brandi Michelle Lee, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 101 Darling Ave, Waycross, GA 31501 Phone: 912-584-0047 Fax: 912-490-1498 | |
Sistar Eyecare Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 545 Knight Ave, Waycross, GA 31501 Phone: 912-285-0020 Fax: 912-285-8222 |