| Luke Stillwell Optometrist, P.c. | |
|
1050 Regional Park Rd, Lebanon, VA 24266-3712 | |
| (276) 889-5828 | |
| Not Available |
| Full Name | Luke Stillwell Optometrist, P.c. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1050 Regional Park Rd, Lebanon, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750696597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 0618001858 (Virginia) | Primary |
| Provider Name | Thomas Luke Stillwell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447488796 PECOS PAC ID: 0446444806 Enrollment ID: I20101029000239 |
| Mailing Address | Practice Location Address |
|---|---|
| Luke Stillwell Optometrist, P.c. Po Box 911, Pounding Mill, VA 24637-0911 Ph: (276) 880-1277 | Luke Stillwell Optometrist, P.c. 1050 Regional Park Rd, Lebanon, VA 24266-3712 Ph: (276) 889-5828 |
Jared Charles Tyhurst, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1614 Main St, Lebanon, VA 24266 Phone: 276-889-1315 | |
Jared Tyhurst Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 1614 E Main St, Lebanon, VA 24266 Phone: 276-889-1315 | |
Dr. L Howard Halsey, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 775 Regional Park Rd, Lebanon, VA 24266 Phone: 276-889-5828 Fax: 276-889-3735 |