Community Eye Care | |
216 Lincoln St Grafton WV 26354-1442 | |
(304) 265-1851 | |
(304) 265-0028 |
Full Name | Community Eye Care |
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Speciality | Clinic/Center |
Location | 216 Lincoln St, Grafton, West Virginia |
Authorized Official Name and Position | Elizabeth J Griffith (CEO) |
Authorized Official Contact | 3042650312 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Community Eye Care 25 W Bluemont St Grafton WV 26354-1242 Ph: (304) 265-0312 | Community Eye Care 216 Lincoln St Grafton WV 26354-1442 Ph: (304) 265-1851 |
NPI Number | 1871365304 |
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Provider Enumeration Date | 10/27/2023 |
Last Update Date | 08/07/2024 |
Medicare PECOS PAC ID | 3072406438 |
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Medicare Enrollment ID | O20240403001176 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871365304 | NPI | - | NPPES |
581043 | Other | WV | MEDICARE |
P793 | Other | WV | MEDICARE |
1871365304 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Sherry L Swartz |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1013990241 PECOS PAC ID: 3476677295 Enrollment ID: I20100901000042 |
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