| Dr Dustan Chris Martin, OD | |
|
812 S Van Buren Rd, Eden, NC 27288-5324 | |
| (336) 623-2020 | |
| Not Available |
| Full Name | Dr Dustan Chris Martin |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 812 S Van Buren Rd, Eden, 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 |
|---|---|---|---|
| 1861493330 | NPI | - | NPPES |
| 093MO | Other | NC | BCBS PROVIDER NUMBER |
| 89093MO | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 0618001304 (Virginia) | Secondary |
| 152W00000X | Optometrist | 1895 (North Carolina) | Primary |
| Provider Name | Myeyedr Optometry Of North Carolina Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1023183563 PECOS PAC ID: 6608019096 Enrollment ID: O20130904000726 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dustan Chris Martin, OD 1950 Old Gallows Rd, Suite 520, Vienna, VA 22182-3990 Ph: (703) 847-8899 | Dr Dustan Chris Martin, OD 812 S Van Buren Rd, Eden, NC 27288-5324 Ph: (336) 623-2020 |
Myeyedr Optometry Of North Carolina Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 812 S Van Buren Rd, Eden, NC 27288 Phone: 336-623-2020 Fax: 336-623-6050 | |
Dr Roy C Turner Optometrist Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 703 S Van Buren Rd, Bldg #2, Eden, NC 27288 Phone: 336-627-1125 Fax: 336-627-1228 | |
Dr Rachelle Davis Optometrist Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 703 S Van Buren Rd Bldg 2, Eden, NC 27288 Phone: 336-627-1125 Fax: 336-627-1228 | |
Mr. William Lee Turner, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 703 S. Vanburen Rd, Bldg #2, Eden, NC 27288 Phone: 336-627-1125 Fax: 336-627-1228 |