| Eye Care On The Ridge Llc | |
|
843 W Stuart Dr, Hillsville, VA 24343-1577 | |
| (276) 728-9323 | |
| Not Available |
| Full Name | Eye Care On The Ridge Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 843 W Stuart Dr, Hillsville, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063704435 | NPI | - | NPPES |
| 1821077686 | Other | WHEATLEY NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 0618001276 (Virginia) | Primary |
| Provider Name | Shad L Wheatley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821077686 PECOS PAC ID: 6103927736 Enrollment ID: I20100129000655 |
| Provider Name | Warren A Gwynn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649685629 PECOS PAC ID: 2466760343 Enrollment ID: I20150925000800 |
| Provider Name | Sarah J Erwin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497137871 PECOS PAC ID: 7315255098 Enrollment ID: I20150929002788 |
| Provider Name | Adam C English |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447708078 PECOS PAC ID: 0648543645 Enrollment ID: I20170913000452 |
| Provider Name | Emily Sikes Petanovich |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235689613 PECOS PAC ID: 0446680896 Enrollment ID: I20200427000104 |
| Mailing Address | Practice Location Address |
|---|---|
| Eye Care On The Ridge Llc 843 W Stuart Dr, Hillsville, VA 24343-1577 Ph: (276) 728-9323 | Eye Care On The Ridge Llc 843 W Stuart Dr, Hillsville, VA 24343-1577 Ph: (276) 728-9323 |
Dr. Emily Sikes Petanovich, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 843 W Stuart Dr, Hillsville, VA 24343 Phone: 276-728-9323 | |
Hillsville Family Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 152 North Main Street, Hillsville, VA 24343 Phone: 276-728-2185 | |
Warren Gwynn, O.D, M.S. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 843 W Stuart Dr, Hillsville, VA 24343 Phone: 276-728-9323 Fax: 276-728-0400 | |
Dr. Shad L Wheatley, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 843 W Stuart Dr Apt 7, Hillsville, VA 24343 Phone: 276-728-9323 Fax: 276-728-0400 |