| Wan Wang, | |
|
2015 Waterside Rd, Prince George, VA 23875-1265 | |
| (804) 287-2020 | |
| (804) 733-7390 |
| Full Name | Wan Wang |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 2015 Waterside Rd, Prince George, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518747609 | NPI | - | NPPES |
| Provider Name | Envision Professional Group Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1427155472 PECOS PAC ID: 5799040184 Enrollment ID: O20180606001633 |
| Mailing Address | Practice Location Address |
|---|---|
| Wan Wang, 2015 Waterside Rd, Prince George, VA 23875-1265 Ph: (804) 287-2020 | Wan Wang, 2015 Waterside Rd, Prince George, VA 23875-1265 Ph: (804) 287-2020 |
Eye Surgeons Of Richmond, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 2015 Waterside Rd, Prince George, VA 23875 Phone: 804-287-4200 Fax: 804-287-4210 | |
Dr. Justin Autry, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2015 Waterside Rd, Prince George, VA 23875 Phone: 804-733-7300 Fax: 804-733-7387 | |
Kulsoom T. Murtaza, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2015 Waterside Rd, Prince George, VA 23875 Phone: 804-733-7300 Fax: 804-733-7390 | |
Thomas Matlock Wyman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2015 Waterside Rd, Prince George, VA 23875 Phone: 804-287-4200 | |
Olivia Novak, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2015 Waterside Rd, Prince George, VA 23875 Phone: 804-733-7300 Fax: 804-733-7390 |