Dr Nancy Jean Petrilak, OD | |
1st Medical Group, 77 Nealy Ave, Langley Afb, VA 23665-2023 | |
(757) 764-6973 | |
Not Available |
Full Name | Dr Nancy Jean Petrilak |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 1st Medical Group, Langley Afb, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508089673 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 9998 (California) | Primary |
Mailing Address | Practice Location Address |
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Dr Nancy Jean Petrilak, OD 104 Carnoustie Ct, Yorktown, VA 23693-5517 Ph: (757) 969-5368 | Dr Nancy Jean Petrilak, OD 1st Medical Group, 77 Nealy Ave, Langley Afb, VA 23665-2023 Ph: (757) 764-6973 |
Amanda Kanwischer Gutierrez, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 77 Nealy Ave, Langley Afb, VA 23665 Phone: 757-764-6973 | |
Dr. Brian Gerard Nichols, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 45 Pine Rd., 1st Medical Group, Langley Afb, VA 23665 Phone: 757-764-6975 Fax: 757-764-6970 |