Virginia Eyecare Clinic, Llc | |
1193 Plaza Dr, Grundy, VA 24614-6780 | |
(276) 935-4558 | |
(276) 935-2993 |
Full Name | Virginia Eyecare Clinic, Llc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 1193 Plaza Dr, Grundy, Virginia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710991708 | NPI | - | NPPES |
143512 | Other | VA | ANTHEM |
9200061001 | Medicaid | WV | |
009237348 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 0601002211 (Virginia) | Secondary |
152W00000X | Optometrist | (Virginia) | Primary |
Provider Name | Amanda Joy Umlandt |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1720217854 PECOS PAC ID: 0648319996 Enrollment ID: I20110412000526 |
Mailing Address | Practice Location Address |
---|---|
Virginia Eyecare Clinic, Llc 1193 Plaza Dr, Grundy, VA 24614-6780 Ph: (276) 935-2292 | Virginia Eyecare Clinic, Llc 1193 Plaza Dr, Grundy, VA 24614-6780 Ph: (276) 935-4558 |
Appalachian College Of Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1193 Plaza Dr, Grundy, VA 24614 Phone: 276-244-0171 | |
Dr. Amanda Joy Umlandt, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1193 Plaza Dr, Grundy, VA 24614 Phone: 276-935-2292 Fax: 276-935-2993 |