| Anton Vlasov, DO | |
|
2817 Reilly St, Fort Bragg, NC 28310-0004 | |
| (910) 907-6001 | |
| Not Available |
| Full Name | Anton Vlasov |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 12 Years |
| Location | 2817 Reilly St, Fort Bragg, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841639564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 1489 (Nebraska) | Secondary |
| 207W00000X | Ophthalmology | 2017-02607 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pinehurst Surgical Clinic Pa | 4587561394 | 86 |
| Entity Name | Pinehurst Surgical Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962434324 PECOS PAC ID: 4587561394 Enrollment ID: O20031218000239 |
| Mailing Address | Practice Location Address |
|---|---|
| Anton Vlasov, DO 6200 Fauvette Ln, Holly Springs, NC 27540-6443 Ph: (248) 854-5230 | Anton Vlasov, DO 2817 Reilly St, Fort Bragg, NC 28310-0004 Ph: (910) 907-6001 |
Jeffrey William Moon, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merritt Ave Stop A, Fort Bragg, NC 28310 Phone: 910-907-6000 | |
Alexander Ray Stoddard, Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2817 Rock Merritt Ave, Fort Bragg, NC 28310 Phone: 910-907-6001 | |
Scott Daniel Barnes, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 2817 Reilly Road Mcxc-cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 |