Virginia Eye Institute | |
2015 Waterside Rd, Prince George, VA 23875-1265 | |
(804) 287-4200 | |
(804) 287-4210 |
Full Name | Virginia Eye Institute |
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Type | Facility |
Speciality | Optometrist |
Location | 2015 Waterside Rd, Prince George, Virginia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093017170 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 19340000X (Virginia) | Primary |
Mailing Address | Practice Location Address |
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Virginia Eye Institute 400 Westhampton Sta, Richmond, VA 23226-3330 Ph: (804) 287-4200 | Virginia Eye Institute 2015 Waterside Rd, Prince George, VA 23875-1265 Ph: (804) 287-4200 |
Dr. Justin Autry, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2015 Waterside Rd, Prince George, VA 23875 Phone: 804-733-7300 Fax: 804-733-7387 | |
Kulsoom T. Murtaza, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2015 Waterside Rd, Prince George, VA 23875 Phone: 804-733-7300 Fax: 804-733-7390 | |
Thomas Matlock Wyman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2015 Waterside Rd, Prince George, VA 23875 Phone: 804-287-4200 |