| Mr Dexter Wayne Street, OD | |
|
913 Worth St, Mount Airy, NC 27030-4459 | |
| (336) 786-8828 | |
| (336) 786-5977 |
| Full Name | Mr Dexter Wayne Street |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 41 Years |
| Location | 913 Worth St, Mount Airy, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962464156 | NPI | - | NPPES |
| 431657 | Other | VA | ANTHEM |
| 09878 | Other | NC | BLUE CROSS BLUE SHIELD |
| 7909878 | Medicaid | NC | |
| 410038739 | Other | NC | RAILROAD MEDICARE |
| 2208005 | Other | NC | UNITED HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1375 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oliver Optometric Eye Care | 3971885443 | 3 |
| Provider Name | Oliver Optometric Eye Care |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629528104 PECOS PAC ID: 3971885443 Enrollment ID: O20170117002039 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Dexter Wayne Street, OD 913 Worth St, Mount Airy, NC 27030-4459 Ph: (336) 786-8828 | Mr Dexter Wayne Street, OD 913 Worth St, Mount Airy, NC 27030-4459 Ph: (336) 786-8828 |
Dr Michael Clark Optometrist Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 602 S Renfro St, Mount Airy, NC 27030 Phone: 336-789-9031 Fax: 336-789-8343 | |
Dr. Michael Clark, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 602 S Renfro St, Mount Airy, NC 27030 Phone: 336-789-9031 Fax: 336-789-8343 | |
Dr. David Ray Wells, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 906 W Pine St, Suite 200, Mount Airy, NC 27030 Phone: 336-719-2000 Fax: 888-241-5078 |