| Vestal & Vestal Optometrists | |
|
910 Tusculum Blvd Ste 2, Greeneville, TN 37745-4004 | |
| (423) 639-2002 | |
| (423) 638-4522 |
| Full Name | Vestal & Vestal Optometrists |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 910 Tusculum Blvd Ste 2, Greeneville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366572570 | NPI | - | NPPES |
| 3517736 | Medicaid | TN | |
| 3593480 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OD0000000490 (Tennessee) | Primary |
| Provider Name | Donnie P Vestal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134100662 PECOS PAC ID: 7810071578 Enrollment ID: I20080220000263 |
| Mailing Address | Practice Location Address |
|---|---|
| Vestal & Vestal Optometrists 910 Tusculum Blvd Ste 2, Greeneville, TN 37745-4004 Ph: (423) 639-2002 | Vestal & Vestal Optometrists 910 Tusculum Blvd Ste 2, Greeneville, TN 37745-4004 Ph: (423) 639-2002 |
Dr. Addison Dimartino, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 204 Emory Dr, Greeneville, TN 37745 Phone: 423-683-4151 Fax: 423-639-6861 | |
Shelly F Shaw, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1000 Tusculum Blvd, Suite 4, Greeneville, TN 37745 Phone: 423-639-8128 Fax: 423-798-9204 | |
Dr. D Pete Vestal, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 910 Tusculum Blvd, Ste 2, Greeneville, TN 37745 Phone: 423-639-2002 Fax: 423-638-4522 | |
East View Eye Care, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 1000 Tusculum Blvd, Ste 4, Greeneville, TN 37745 Phone: 423-639-8128 Fax: 423-798-9204 | |
Greater Regional Eye Group Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1410 Tusculum Blvd, Greeneville, TN 37745 Phone: 423-636-7394 | |
Graham Taylor, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1310 E Andrew Johnson Hwy, Greeneville, TN 37745 Phone: 423-638-6236 | |
Dr. Bradford Mark Emde, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1000 Tusculum Blvd, Ste 4, Greeneville, TN 37745 Phone: 423-639-8128 Fax: 423-798-9204 |