Dr Jonathan Fugate, OD is a
Optometrist based in Fort Eustis, Virginia. Dr Jonathan Fugate is licensed to practice in Virginia (license number 0618002752) and his current practice location is
576 Jefferson Ave, Fort Eustis, Virginia. He can be reached at his office (for appointments etc.) via phone at
(417) 872-7002.
NPI number for Dr Jonathan Fugate is 1083270003 and his current mailing address is 650 Joel Dr, Fort Campbell, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083270003.
Healthcare Provider's Profile
Full Name | Dr Jonathan Fugate |
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Gender | Male |
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Speciality | Optometrist |
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Location | 576 Jefferson Ave, Fort Eustis, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083270003
- Provider Enumeration Date: 05/15/2019
- Last Update Date: 12/12/2022
Medical Identifiers
Medical identifiers for Dr Jonathan Fugate such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083270003 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 0618002752 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jonathan Fugate is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Jonathan Fugate, OD 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: (417) 872-7002 | Dr Jonathan Fugate, OD 576 Jefferson Ave, Fort Eustis, VA 23604-1373 Ph: (417) 872-7002 |
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