| Jared Tyhurst Od Pc | |
|
1614 E Main St, Lebanon, VA 24266-3446 | |
| (276) 889-1315 | |
| Not Available |
| Full Name | Jared Tyhurst Od Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1614 E Main St, Lebanon, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821277468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (Virginia) | Primary |
| Provider Name | Adrienne Pritchard Nowicki |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770636961 PECOS PAC ID: 1658518584 Enrollment ID: I20130513000258 |
| Provider Name | Jared Charles Tyhurst |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467945931 PECOS PAC ID: 3678820859 Enrollment ID: I20180718003918 |
| Mailing Address | Practice Location Address |
|---|---|
| Jared Tyhurst Od Pc Po Box 2020, Lebanon, VA 24266-2020 Ph: () - | Jared Tyhurst Od Pc 1614 E Main St, Lebanon, VA 24266-3446 Ph: (276) 889-1315 |
Jared Charles Tyhurst, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1614 Main St, Lebanon, VA 24266 Phone: 276-889-1315 | |
Luke Stillwell Optometrist, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 1050 Regional Park Rd, Lebanon, VA 24266 Phone: 276-889-5828 | |
Dr. L Howard Halsey, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 775 Regional Park Rd, Lebanon, VA 24266 Phone: 276-889-5828 Fax: 276-889-3735 |