Timothy H Istock, OD | |
Medical Center Blvd, Winston Salem, NC 27157-0001 | |
(336) 716-2255 | |
(336) 716-7994 |
Full Name | Timothy H Istock |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | Medical Center Blvd, Winston Salem, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366425068 | NPI | - | NPPES |
093T7 | Other | NC | BCBS |
10157765 | Medicaid | VA | |
5900639 | Medicaid | NC | |
806736 | Other | NC | PARTNERS |
3810002311 | Medicaid | WV | |
E2101 | Other | NC | MEDCOST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1311 (North Carolina) | Primary |
Provider Name | Wake Forest University Health Sciences |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
Mailing Address | Practice Location Address |
---|---|
Timothy H Istock, OD Po Box 344, Winston Salem, NC 27102-0344 Ph: (336) 716-2255 | Timothy H Istock, OD Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-2255 |
Dr. Gary Brent Cogdill, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3320 Silas Creek Pkwy, Suite 280, Winston Salem, NC 27103 Phone: 336-765-3159 Fax: 336-659-0998 | |
Mr. Seth Jones, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2341 Winterhaven Ln, Winston Salem, NC 27103 Phone: 336-760-2020 Fax: 336-760-2858 | |
Dr. Marium Warsi-zehri, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 3316 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 535-033-6765 | |
Dr. Terry W Ellington, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2910 Reynolda Rd, Winston Salem, NC 27106 Phone: 336-724-5000 | |
Dr. Terry L. Davis, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 8013 N Point Blvd, Winston Salem, NC 27106 Phone: 336-759-9706 | |
Hillcrest Vision, O.d., P.a. Optometrist Medicare: Medicare Enrolled Practice Location: 2341 Winterhaven Ln, Winston Salem, NC 27103 Phone: 336-760-2020 Fax: 336-760-2858 | |
Lisa N Davis, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 235 Harvey St, Winston Salem, NC 27103 Phone: 336-842-0952 Fax: 336-793-3475 |