| Deval I Desai Od Pllc | |
|
261 Cooper Creek Dr, Mocksville, NC 27028-5967 | |
| (336) 751-2890 | |
| (336) 751-2442 |
| Full Name | Deval I Desai Od Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 261 Cooper Creek Dr, Mocksville, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740649128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Deval I Desai |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336344282 PECOS PAC ID: 8123185378 Enrollment ID: I20090316000366 |
| Mailing Address | Practice Location Address |
|---|---|
| Deval I Desai Od Pllc 954 Berryhill Ln, Winston Salem, NC 27106-9831 Ph: () - | Deval I Desai Od Pllc 261 Cooper Creek Dr, Mocksville, NC 27028-5967 Ph: (336) 751-2890 |
Theresa Ann Watt, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1102c Yadkinville Rd, Mocksville, NC 27028 Phone: 336-751-5734 Fax: 336-751-4968 | |
Steven G. Laymon, Od, Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 198b Hospital St, Mocksville, NC 27028 Phone: 336-751-5734 Fax: 336-751-4968 | |
Dr. Steven G Laymon, OD Optometrist Medicare: Medicare Enrolled Practice Location: 198b Hospital St, Mocksville, NC 27028 Phone: 336-751-5734 Fax: 336-751-4968 |