| Grifasi Eyecare And Optical, Iii, Inc. | |
|
17252 N Village Main Blvd, Unit 6, Lewes, DE 19958-6292 | |
| (302) 644-1039 | |
| Not Available |
| Full Name | Grifasi Eyecare And Optical, Iii, Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 17252 N Village Main Blvd, Lewes, Delaware |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154357598 | NPI | - | NPPES |
| 1000035225 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Richard Salvatore Grifasi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881698116 PECOS PAC ID: 9739071044 Enrollment ID: I20101019000997 |
| Mailing Address | Practice Location Address |
|---|---|
| Grifasi Eyecare And Optical, Iii, Inc. 17252 N Village Main Blvd, Unit 6, Lewes, DE 19958-6292 Ph: (302) 644-1039 | Grifasi Eyecare And Optical, Iii, Inc. 17252 N Village Main Blvd, Unit 6, Lewes, DE 19958-6292 Ph: (302) 644-1039 |
Thomas George Bastholm, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1540 Savannah Rd, Lewes, DE 19958 Phone: 302-645-2020 Fax: 302-645-2223 | |
Madison Elaine Reeves, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1540 Savannah Rd Ste A, Lewes, DE 19958 Phone: 302-645-2020 | |
Richard Salvatore Grifasi, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 17425 Ocean One Plaza, Unit 2, Lewes, DE 19958 Phone: 302-644-1039 |