| Daniel B Drysdale, MD PC | |
|
3645 S Main St, Blacksburg, VA 24060-7018 | |
| (540) 951-0525 | |
| (540) 953-1539 |
| Full Name | Daniel B Drysdale |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 3645 S Main St, Blacksburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629013776 | NPI | - | NPPES |
| 064462 | Other | VA | ANTHEM PROVIDER NUMBER |
| 006374760 | Medicaid | VA | |
| 1952631723 | Other | VA | TYPE II DME NPI CORPORATE DMERC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 0101029249 (Virginia) | Primary |
| Entity Name | Old Dominion Eye Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669547311 PECOS PAC ID: 8527009364 Enrollment ID: O20050521000034 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel B Drysdale, MD PC 3645 S Main St, Blacksburg, VA 24060-7018 Ph: (540) 951-0525 | Daniel B Drysdale, MD PC 3645 S Main St, Blacksburg, VA 24060-7018 Ph: (540) 951-0525 |
Dr. Donna Maxfield, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1901 S Main St, Ste 1, Blacksburg, VA 24060 Phone: 540-552-1120 Fax: 540-552-1134 | |
Dr. Parisa Farhi, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1901 S Main St, Suite 1, Blacksburg, VA 24060 Phone: 540-552-1120 Fax: 540-552-1134 |