| Robert Douglas Cullom, MD | |
|
120 Kings Way, Suite 1300, Williamsburg, VA 23185-2505 | |
| (757) 345-3001 | |
| (757) 345-3102 |
| Full Name | Robert Douglas Cullom |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 120 Kings Way, Williamsburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467439042 | NPI | - | NPPES |
| 1467439042 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 0101057539 (Virginia) | Primary |
| Entity Name | Riverside Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194929026 PECOS PAC ID: 5092608448 Enrollment ID: O20040207000400 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Douglas Cullom, MD 856 J Clyde Morris Blvd, Suite A, Newport News, VA 23601-1318 Ph: () - | Robert Douglas Cullom, MD 120 Kings Way, Suite 1300, Williamsburg, VA 23185-2505 Ph: (757) 345-3001 |
Leana S. Long, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 120 Kings Way, Suite 1300, Williamsburg, VA 23185 Phone: 757-345-1001 Fax: 757-345-3102 | |
Dr. Anthony W. Farah, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 120 Kings Way, Suite 1300, Williamsburg, VA 23185 Phone: 757-345-3001 Fax: 757-345-3102 | |
Dr. Andrew Rollin Davis, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5215 Monticello Ave Ste A, Williamsburg, VA 23188 Phone: 757-229-4000 | |
Mr. Glenn C Campbell, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 5215 Monticello Ave, Williamsburg, VA 23188 Phone: 757-229-4000 | |
Dr. Franklin Lawrence Freda, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 204 Zelkova Rd, Williamsburg, VA 23185 Phone: 757-645-3394 | |
Dr. John R. Nordlund, M.D., PHD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 5215 Monticello Ave Ste A, Williamsburg, VA 23188 Phone: 757-229-4000 |