| Gordon W. Jennings Od Pc | |
|
310 E Main St, Wytheville, VA 24382-2326 | |
| (276) 228-2771 | |
| (276) 228-9097 |
| Full Name | Gordon W. Jennings Od Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 310 E Main St, Wytheville, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669535050 | NPI | - | NPPES |
| 410001097 | Other | VA | MEDICARE # DR. GRAU (SECOND DOCTOR IN PRACTICE) |
| 009234268 | Medicaid | VA | |
| 079556 | Other | VA | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 0618000167 (Virginia) | Primary |
| Provider Name | Gordan W Jennings |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669435533 PECOS PAC ID: 9638219496 Enrollment ID: I20091229000644 |
| Provider Name | Amber Hurley Mcculley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881956142 PECOS PAC ID: 8628234531 Enrollment ID: I20120723000031 |
| Provider Name | Abigail Joy Mitchell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831882521 PECOS PAC ID: 6204281785 Enrollment ID: I20231018003907 |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon W. Jennings Od Pc 310 E Main St, Wytheville, VA 24382-2326 Ph: (276) 228-2771 | Gordon W. Jennings Od Pc 310 E Main St, Wytheville, VA 24382-2326 Ph: (276) 228-2771 |
Jonathan Keen, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 530 W Ridge Rd, Wytheville, VA 24382 Phone: 276-223-0033 Fax: 276-223-0327 | |
Dr. Cynthia Dawn Inman, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 530 W Ridge Rd, Wytheville, VA 24382 Phone: 276-223-0033 | |
Dr. Stephen Fredrick Lord, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 530w Ridge Rd, Wytheville, VA 24382 Phone: 276-223-0033 Fax: 276-223-0327 | |
Sarah Elizabeth Anderson, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 530 W Ridge Rd, Wytheville, VA 24382 Phone: 276-223-0033 | |
Mrs. Chelsea Elizabeth Rasnick, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 310 E Main St, Wytheville, VA 24382 Phone: 276-228-2771 | |
Alexandra E Schwab, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 530 W Ridge Rd, Wytheville, VA 24382 Phone: 276-223-0033 | |
Wythe Eye Associates Amanda Brewer-smith Od Inc Optometrist Medicare: Medicare Enrolled Practice Location: 530 W Ridge Rd, Wytheville, VA 24382 Phone: 276-223-0033 Fax: 276-223-0327 |