| Pr Eyecare Consulting Group Od Pa | |
|
1040 Randolph Str, Ste 14-15, Thomasville, NC 27360 | |
| (336) 472-8700 | |
| (336) 472-8740 |
| Full Name | Pr Eyecare Consulting Group Od Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1040 Randolph Str, Thomasville, 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 |
|---|---|---|---|
| 1891726691 | NPI | - | NPPES |
| 89011UP | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Jeffrey R Sutton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255526232 PECOS PAC ID: 6800845959 Enrollment ID: I20050124000594 |
| Provider Name | Roger Watson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205899036 PECOS PAC ID: 1658275102 Enrollment ID: I20071207000596 |
| Provider Name | Peter Rogaski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629051693 PECOS PAC ID: 7113096314 Enrollment ID: I20080514000238 |
| Provider Name | Jennifer Fishel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770584567 PECOS PAC ID: 7517033194 Enrollment ID: I20080904000717 |
| Provider Name | Lori Anne Farabaugh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770685372 PECOS PAC ID: 5496762643 Enrollment ID: I20100622000770 |
| Provider Name | Shannon L Blackwood |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821353566 PECOS PAC ID: 3577792266 Enrollment ID: I20140128001991 |
| Provider Name | Donald M York |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629626742 PECOS PAC ID: 5092147074 Enrollment ID: I20191112003435 |
| Provider Name | Abid-alhamid Dahnoun |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396358271 PECOS PAC ID: 2163838681 Enrollment ID: I20210309000715 |
| Provider Name | Jennifer Wilcox |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174570568 PECOS PAC ID: 8527065457 Enrollment ID: I20210518001955 |
| Mailing Address | Practice Location Address |
|---|---|
| Pr Eyecare Consulting Group Od Pa 12910 Shelbyville Rd Ste 300, Louisville, KY 40243-2404 Ph: (502) 244-2441 | Pr Eyecare Consulting Group Od Pa 1040 Randolph Str, Ste 14-15, Thomasville, NC 27360 Ph: (336) 472-8700 |
Dr. Paul Douglas Ware, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1585 Liberty Dr, Thomasville, NC 27360 Phone: 366-474-7285 Fax: 366-474-2277 | |
Myeyedr Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1033 Randolph St Ste 4, Thomasville, NC 27360 Phone: 336-476-3141 | |
James S Pope, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1033 Randolph St Ste 4, Thomasville, NC 27360 Phone: 336-475-0151 | |
James S Pope Dba Eye Care Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1033 Randolph St Ste 4, Thomasville, NC 27360 Phone: 336-475-0151 | |
Dr. Peter Michael Rogaski, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1040 Randolph St, Ste 1415, Thomasville, NC 27360 Phone: 336-472-8700 Fax: 336-472-8740 | |
James S Pope Dba Eye Care Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1033 Randolph St Ste 4, Thomasville, NC 27360 Phone: 336-475-0151 |