| Terry S Mangold, OD | |
|
1405 Chandell St, Keyser, Keyser, WV 26726-2012 | |
| (304) 788-5961 | |
| (304) 788-5961 |
| Full Name | Terry S Mangold |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 1405 Chandell St, Keyser, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689671877 | NPI | - | NPPES |
| 550607791 | Other | WV | TAX ID # |
| 0150688000 | Medicaid | WV | |
| 257851 | Other | WV | MAMSI HEALTH INSURANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | WV718-OD (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Terry S Mangold, OD 1405 Chandell St, Keyser, Keyser, WV 26726-2012 Ph: (304) 788-5961 | Terry S Mangold, OD 1405 Chandell St, Keyser, Keyser, WV 26726-2012 Ph: (304) 788-5961 |
Myeyedr Optometry Of West Virginia, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1190 New Creek Hwy, Keyser, WV 26726 Phone: 304-788-7800 Fax: 304-788-7802 | |
Dr. William Benjamin Conrad, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 130 Walmart Drive, Keyser, WV 26726 Phone: 304-788-7760 Fax: 304-788-7761 | |
Mountain State Eye Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: Rr 3 Box 3300, Keyser, WV 26726 Phone: 304-788-7800 |