DR. MARY LEE PEMBERTON (NPI# 1003802422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003802422 |
| Entity Type | Individual |
| Full Name | DR. MARY LEE PEMBERTON |
| Credential | O.D. |
| Practice Address |
2522 Jefferson Hwy Suite 106 Waynesboro VA 22980-8503 |
| Practice Telephone | 5409468727 |
| Practice Fax Number | 5409495526 |
| Mailing Telephone | 5409468727 |
| Mailing Fax Number | 5409495526 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2008-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 061800738 | VA | Eye and Vision Services Providers |
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
0618000738 | VA | Eye and Vision Services Providers |
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
0618000738 | VA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | CIGNA | 5612691 | 01 |
| VA | ANTHEM BC/BS | 466350 | 01 |
| VA | SOUTHERN HEALTH | 159075 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609951698 | Mary Norcott Pemberton | Social Worker | 60 Boston Post Road, Madison, CT 06443 | 2006-10-26 |
| 1245549575 | Mary Ashley Pemberton | Anesthesiologist Assistant | 5353 Reynolds St, Savannah, GA 31405-6015 | 2010-10-05 |
| Street Address |
2522 JEFFERSON HWY SUITE 106 |
| City | WAYNESBORO |
| State | VA |
| Zip Code | 22980-8503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396994646 | Augusta Medical Group | Internal Medicine | 2522 Jefferson Hwy, Suite 110, Waynesboro, VA 22980-8503 | 2008-09-11 |
| 1720154974 | Mary Lee Pemberton, Od PC | Optometrist | 2522 Jefferson Hwy, Suite 106, Waynesboro, VA 22980-8503 | 2006-11-28 |
| 1518072933 | Augusta Health Care Inc | Internal Medicine | 2522 Jefferson Hwy, Suite 110, Waynesboro, VA 22980-6500 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053870071 | Deborah M Yancey | Audiologist | 301 Pine Ave., Waynesboro, VA 22980 | 2019-03-19 |
| 1255895215 | Synergy Rehab and Wellness, Plc | Physical Therapist | 100b Community Dr, Waynesboro, VA 22980 | 2019-01-24 |
| 1760959076 | Contractors Usa Inc. | Contractor | 102 Northpoint School Rd, Waynesboro, VA 22980 | 2018-10-25 |
| 1073080412 | Rebecca Mackall | Speech-Language Pathologist | 872 Fairway Drive, Waynesboro, VA 22980 | 2018-10-24 |
| 1891239927 | Heather Lewis | Counselor | 438 Alpha St, Waynesboro, VA 22980 | 2016-12-08 |
| 1194271817 | Ride Rite LLC | Taxi | 465 Calf Mountain Road, Waynesboro, VA 22980 | 2016-09-01 |
| 1225584568 | Richard Harris Sr. | Non-emergency Medical Transport (VAN) | 208 S Bayard Ave, Waynesboro, VA 22980 | 2016-08-28 |
| 1154772671 | Michael T Cunningham, Dds, PC | Dentist | 1151 13th St. Ste 200, Waynesboro, VA 22980 | 2016-06-27 |
| 1770981326 | Americare Plus, LLC. | In Home Supportive Care | 510 H West Broad Street, Waynesboroa, VA 22980 | 2014-12-15 |
| 1043649635 | Advanced Home Care Inc | Durable Medical Equipment & Medical Supplies | 30 Ebco Cir Ste 102, Waynesboro, VA 22980 | 2013-11-05 |
| Find all providers in zip 22980 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619492782 | Jennifer E. Davis, Optometrist, Pllc | Optometrist | 221 Osage Ln Ste A, Waynesboro, VA 22980-9309 | 2017-08-09 |
| 1396065090 | Dr Jay M Chapman Vision Center | Optometrist | 530 Highway 64 E, Suite 5, Waynesboro, TN 38485-3049 | 2010-06-03 |
| 1336197540 | Dvc of Virginia PC | Optometrist | 540 Lew Dewitt Boulevard, Suite 5, Waynesboro, VA 22980 | 2006-05-04 |
| 1144287368 | Jennifer Elaine Davis | Optometrist | 400 S Magnolia Ave, Waynesboro, VA 22980-3648 | 2006-05-01 |
| 1740638360 | Myeyedr Optometry of Pennsylvania, LLC | Optometrist | 1800 E Main St, Waynesboro, PA 17268-1879 | 2016-05-25 |
| 1003162645 | Eric Francis Knapp | Optometrist | 12751 Washington Township Blvd, Waynesboro, PA 17268-8502 | 2012-08-01 |
| 1184997926 | Van Lucas II | Optometrist | 1350 Azalea Dr, Waynesboro, MS 39367-2257 | 2012-02-09 |
| 1972733459 | Antietam Eye Associates | Optometrist | 1051 E Main St, Unit 7, Waynesboro, PA 17268-2318 | 2009-07-20 |
| 1396925806 | Allegany Optical LLC | Optometrist | 1800 E Main St, Waynesboro, PA 17268-1879 | 2007-11-13 |
| 1104025089 | Sheralyn Kyle King | Optometrist | 1800 E Main St, Waynesboro, PA 17268-1879 | 2007-07-12 |
| Find all providers in WAYNESBORO | ||||
| City | WAYNESBORO |
| Zip Code | 22980 |
Please comment or provide details below to improve the information on DR. MARY LEE PEMBERTON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.