EYE PHYSICIANS OF SOUTHWEST VIRGINIA PC (NPI# 1407820210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407820210 |
Entity Type | Organization |
Organization Name | EYE PHYSICIANS OF SOUTHWEST VIRGINIA PC |
Other Organization Name | EYE PHYSICIANS OPTICAL CENTER |
Practice Address |
328 Cummings St Suite A Abingdon VA 24210-3208 |
Practice Telephone | 2766283118 |
Practice Fax Number | 2766288342 |
Mailing Telephone | 2766283118 |
Mailing Fax Number | 2766288342 |
Enumeration Date | 2006-02-16 |
Last Update Date | 2007-12-18 |
Authorized Official Name | MR. WILLIAM DUFF CARMACK (ADMINISTRATOR) |
Authorized Official Telephone | 2766823118 |
Authorized Official Credential | MBA |
Is Organization Subpart | Y |
Parent Organization Name | EYE PHYSICIANS OF SOUTHWEST VIRGINIA PC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | VA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | DMERC | 0221430001 | 01 |
VA | DMERC | 0221430002 | 01 |
Other Name | Type Code |
---|---|
Eye Physicians Optical Center | Other Name - Individual/Organization |
Street Address |
328 CUMMINGS ST SUITE A |
City | ABINGDON |
State | VA |
Zip Code | 24210-3208 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235122151 | William Fred Prestowitz | Ophthalmology | 328 Cummings St, Suite A, Abingdon, VA 24210-3208 | 2005-08-25 |
1477587764 | Brett Shane Compton | Optometrist | 328 Cummings St, Suite A, Abingdon, VA 24210-3208 | 2006-07-10 |
1154315901 | Eye Physicians of Southwest Virginia P C | Ophthalmology | 328 Cummings St, Abingdon, VA 24210-3208 | 2005-09-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184192890 | Clinton Samuel Steve Webb | Nurse Practitioner | 406 W Main St Ste 100, Abingdon, VA 24210 | 2018-11-12 |
1528565801 | Crossroads Treatment Center of Petersburg, PC | Clinic/Center | 301 Falls Dr Nw Ste 353, Abingdon, VA 24210 | 2018-04-12 |
1780189035 | Vickie Lynne Beam | Speech-Language Pathologist | Washington County Public Schools, 812 Thompson Drive, Abingdon, VA 24210 | 2018-03-28 |
1093235814 | Meagan R Compton | Speech-Language Pathologist | 18596 Lee Hwy Suite B, Abingdon, VA 24210 | 2017-06-22 |
1710433404 | Highlands Community Pharmacy Inc | Pharmacy | 16400 Jeb Stuart Highway, Abingdon, VA 24210 | 2016-09-01 |
1548632417 | Lauren Irene Esposito | Audiologist | 319 Falls Drive, Abingdon, VA 24210 | 2015-10-30 |
1073909784 | Michael Justice | Pharmacist | 1 Food City Circle, Abingdon, VA 24210 | 2015-04-09 |
1245574177 | Watauga Medical Group | Family Medicine | 300 Valley St, Ne, Abingdon, VA 24210 | 2012-11-15 |
1083908883 | Kimberly Regina Mullins | Occupational Therapy Assistant | 17575 Havens Rest Rd., Abingdon, VA 24210 | 2011-06-09 |
1902131170 | Sara Jeannette Creekmore | Family Medicine | 328-a Cummings St., Abingdon, VA 24210 | 2009-10-06 |
Find all providers in zip 24210 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790307569 | Mediserve Medical Equipment of Kingsport, Inc. | Durable Medical Equipment & Medical Supplies | 24530 Falcon Place Blvd Ste 1e, Abingdon, VA 24211-7665 | 2020-05-14 |
1265700447 | Ellis Home Oxygen & Medical Equipment | Durable Medical Equipment & Medical Supplies | 329a Cummings St, Abingdon, VA 24210-3207 | 2011-12-02 |
1811165251 | Ingenious Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 689 Kirkcaldy Way, Abingdon, MD 21009-2417 | 2008-02-19 |
1205028271 | Ati Holdings, LLC | Durable Medical Equipment & Medical Supplies | 3491 Merchant Boulevard, Suite 108, Abingdon, MD 21009 | 2007-08-14 |
1659571222 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 668 W Main St, Abingdon, VA 24210-2510 | 2007-07-23 |
1447325444 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 25218 Lee Hwy, Abingdon, VA 24211-7460 | 2006-11-22 |
1437164621 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3005 Emmorton Rd, Abingdon, MD 21009-2023 | 2006-07-29 |
1780606442 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 403 Constant Friendship Blvd, Abingdon, MD 21009-2566 | 2006-07-24 |
1396762878 | K Va T Food Stores Inc | Durable Medical Equipment & Medical Supplies | 151 Cook Street, Abingdon, VA 24210 | 2006-07-17 |
1205853587 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 401 Constant Friendship Blvd, Abingdon, MD 21009-2566 | 2006-07-16 |
Find all providers in ABINGDON |
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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.