| 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 |
|---|---|
| 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 |