| Eyecarecenter Od Pa | |
|
2630 Peters Creek Pkwy, Winston Salem, NC 27127-5655 | |
| (636) 200-4393 | |
| (336) 785-3002 |
| Full Name | Eyecarecenter Od Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2630 Peters Creek Pkwy, Winston Salem, 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 |
|---|---|---|---|
| 1427599802 | NPI | - | NPPES |
| 0222680041 | Other | NC | SUPPLIER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (North Carolina) | Primary |
| Provider Name | Darren C Decker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982890398 PECOS PAC ID: 4082704598 Enrollment ID: I20071220000698 |
| Provider Name | Scott O Mcdonald |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912994799 PECOS PAC ID: 4284724667 Enrollment ID: I20080103000198 |
| Provider Name | John S Yoakum |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568482271 PECOS PAC ID: 8224154570 Enrollment ID: I20100924000124 |
| Provider Name | Kelly L Reid |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861415424 PECOS PAC ID: 2567650922 Enrollment ID: I20101229000456 |
| Provider Name | Rex Freeman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699793067 PECOS PAC ID: 1951415140 Enrollment ID: I20120302000571 |
| Provider Name | David H Freeman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578582383 PECOS PAC ID: 7810978996 Enrollment ID: I20120302000611 |
| Provider Name | Carrie S Weaver |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013052596 PECOS PAC ID: 6204940018 Enrollment ID: I20120302000637 |
| Provider Name | John M Burke |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700888492 PECOS PAC ID: 1254312333 Enrollment ID: I20120305000540 |
| Provider Name | Truc Ly N Tran |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285986927 PECOS PAC ID: 5597992826 Enrollment ID: I20131212000936 |
| Provider Name | Thuyvan Vo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982032959 PECOS PAC ID: 6709014228 Enrollment ID: I20140108000906 |
| Provider Name | Tyler Christopher Groce |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245669969 PECOS PAC ID: 1052540317 Enrollment ID: I20140207000087 |
| Provider Name | Lindsay L Totten |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083044515 PECOS PAC ID: 7719297555 Enrollment ID: I20151109000150 |
| Provider Name | Shraeya Mehta |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972096345 PECOS PAC ID: 7416380415 Enrollment ID: I20191205001107 |
| Provider Name | Prital Mehta |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033732649 PECOS PAC ID: 3870968142 Enrollment ID: I20230419000989 |
| Provider Name | Alexis Jade Bond |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437970647 PECOS PAC ID: 9133658545 Enrollment ID: I20250130001831 |
| Mailing Address | Practice Location Address |
|---|---|
| Eyecarecenter Od Pa Po Box 207261, Dallas, TX 75320-7261 Ph: (636) 200-4393 | Eyecarecenter Od Pa 2630 Peters Creek Pkwy, Winston Salem, NC 27127-5655 Ph: (636) 200-4393 |
Dr. Gary Brent Cogdill, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3320 Silas Creek Pkwy, Suite 280, Winston Salem, NC 27103 Phone: 336-765-3159 Fax: 336-659-0998 | |
Mr. Seth Jones, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2341 Winterhaven Ln, Winston Salem, NC 27103 Phone: 336-760-2020 Fax: 336-760-2858 | |
Dr. Marium Warsi-zehri, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 3316 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 535-033-6765 | |
Dr. Terry W Ellington, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2910 Reynolda Rd, Winston Salem, NC 27106 Phone: 336-724-5000 | |
Dr. Terry L. Davis, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8013 N Point Blvd, Winston Salem, NC 27106 Phone: 336-759-9706 | |
Hillcrest Vision, O.d., P.a. Optometrist Medicare: Medicare Enrolled Practice Location: 2341 Winterhaven Ln, Winston Salem, NC 27103 Phone: 336-760-2020 Fax: 336-760-2858 | |
Lisa N Davis, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 235 Harvey St, Winston Salem, NC 27103 Phone: 336-842-0952 Fax: 336-793-3475 |