| Mr James Paul Pulaski, MD | |
|
204 Becker Dr, Roanoke Rapids, NC 27870-3134 | |
| (252) 537-8193 | |
| (252) 537-0589 |
| Full Name | Mr James Paul Pulaski |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 204 Becker Dr, Roanoke Rapids, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619017068 | NPI | - | NPPES |
| 00G289860 | Medicaid | CA | |
| 5910776 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | G28986 (California) | Secondary |
| 207W00000X | Ophthalmology | 2007-01893 (North Carolina) | Primary |
| Entity Name | Mid-atlantic Eye Physicians, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215984331 PECOS PAC ID: 4880672815 Enrollment ID: O20040805000964 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr James Paul Pulaski, MD 204 Becker Dr, Roanoke Rapids, NC 27870-3134 Ph: (252) 537-8193 | Mr James Paul Pulaski, MD 204 Becker Dr, Roanoke Rapids, NC 27870-3134 Ph: (252) 537-8193 |
Mr. Alan S Luria, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 204 Becker Dr., Roanoke Rapids, NC 27870 Phone: 252-537-8193 Fax: 252-537-0589 | |
Dr. Willard L Mccloud Jr., MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 204 Becker Dr, Roanoke Rapids, NC 27870 Phone: 252-537-8193 Fax: 252-537-0589 | |
Brian R Crichlow, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 204 Becker Dr, Roanoke Rapids, NC 27870 Phone: 252-537-8193 Fax: 252-537-0589 |