Taylor E Repko (NPI# 1861467763, PAC ID# 2264499516) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1861467763 |
PAC ID by PECOS | 2264499516 |
Professional Enrollment ID | I20041217000600 |
Full Name | Taylor E Repko |
Organization Legal Name | REPKO FAMILY VISION CENTER, PLLC |
Address |
241 Gateway Plz Suite 106 Gate City VA 24251-3350 |
Phone Number | 2766902345 |
Gender | M |
Credential | OD |
Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
Graduation Year | 2003 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 5991964389 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
241 Gateway Plz, Suite 106, Gate City, VA 24251-3350 | 2766902345 | REPKO FAMILY VISION CENTER, PLLC |
Organization Legal Name | REPKO FAMILY VISION CENTER, PLLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Melissa Repko | Optometry | Repko Family Vision Center, Pllc | 241 Gateway Plz, Suite 106, Gate City, VA 24251-3350 |
Street Address |
241 GATEWAY PLZ SUITE 106 |
City | GATE CITY |
State | VA |
Zip | 24251-3350 |
Name | Specialty | Organization | Address |
---|---|---|---|
Melissa Repko | Optometry | Repko Family Vision Center, Pllc | 241 Gateway Plz, Suite 106, Gate City, VA 24251-3350 |
Name | Specialty | Organization | Address |
---|---|---|---|
Alysen M Carter | Family Medicine | Mountain Region Family Medicine P C | 390 Kane St, Gate City, VA 24251-2753 |
Leslie Brooke Mcnew-hall | Nurse Practitioner | Mountain Region Family Medicine P C | 390 Kane St, Gate City, VA 24251-2753 |
Michael C Mcdonough | Psychologist, Clinical | 142 W Jackson St, Suite 101, Gate City, VA 24251-2929 | |
Eleanor S Cantrell | Internal Medicine | Commonwealth of Virginia State Board of Health | 190 Beech St, Suite 102, Gate City, VA 24251-3600 |
City | GATE CITY |
Zip Code | 24251 |
Specialty | OPTOMETRY |
City + Specialty | GATE CITY + OPTOMETRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.