MEDICARE: PATTY VISION CENTER OD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	1088	CA

General Provider Information

NPI Number	:	1497798177
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATTY VISION CENTER OD PA

Provider Business Mailing Address
First Line	:	495 HWY 158 WEST
Second Line	:
City	:	YANCEYVILLE
State	:	NC
Zip	:	27379
Country	:	US
Telephone Number	:	336-694-9632
Fax Number	:	336-694-1207

Provider Business Practice Location Address
First Line	:	495 HWY 158 WEST
Second Line	:
City	:	YANCEYVILLE
State	:	NC
Zip	:	27379
Country	:	US
Telephone Number	:	336-694-9632
Fax Number	:	336-694-1207

Authorized Official
Title or Position	:	OWNER
Name	:	DR. AUGUSTA REID PATTY JR.
Credential	:	O.D.
Telephone Number	:	336-694-9632

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	11/03/2010

Similar Medicare Providers

1851381289 — DR. EUGENE EVERETTE BENFIELD III O.D.
Practice Location Address:

495 US HIGHWAY 158 W
YANCEYVILLE, NC
27379-8304

Practice Phone: 336-694-9632
Practice Fax: 336-694-1207

1316926348 — MRS. KELLY LYNN COBB FNP-BC
Practice Location Address:

189 COUNTY PARK RD
YANCEYVILLE, NC
27379-9376

Practice Phone: 336-694-4129
Practice Fax: 336-694-7030

1386606275 — STEPHEN P KIKEL MD
Practice Location Address:

439 US HIGHWAY 158 W
YANCEYVILLE, NC
27379-8304

Practice Phone: 336-694-9331
Practice Fax: 336-694-4209

1487617619 — DOUGLAS BLANE RUSSELL PA
Practice Location Address:

439 US HWY 158 WEST
YANCEYVILLE, NC
27379

Practice Phone: 336-694-1181
Practice Fax:

1821030792 — DR. PHILIP R GOULD M.D.
Practice Location Address:

439 US HIGHWAY 158 W
YANCEYVILLE, NC
27379-8304

Practice Phone: 336-694-9331
Practice Fax: 336-694-4209

1356378855 — COUNTY OF CASWELL
Practice Location Address:

208 COUNTY PARK RD
YANCEYVILLE, NC
27379

Practice Phone: 336-694-5177
Practice Fax: 336-694-5738

Directions to “PATTY VISION CENTER OD PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.