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NPI Code Detail

MEDICARE: COMMONWEALTH EYE CARE ASSOCIATES PC

MEDICARE: COMMONWEALTH EYE CARE ASSOCIATES PC
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
1207W00000XOphthalmology Physician

General Provider Information

NPI Number : 1568571065
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMONWEALTH EYE CARE ASSOCIATES PC
Provider Business Mailing Address
First Line : 3855 GASKINS RD
Second Line :
City : HENRICO
State : VA
Zip : 23233-1441
Country : US
Telephone Number : 804-217-6363
Fax Number : 804-217-6400
Provider Business Practice Location Address
First Line : 3855 GASKINS RD
Second Line :
City : HENRICO
State : VA
Zip : 23233-1441
Country : US
Telephone Number : 804-217-6363
Fax Number : 804-217-6400
Authorized Official
Title or Position : CREDENTIALING
Name : STACI RANSON
Credential :
Telephone Number : 804-290-4278
Provider Enumeration Date : 08/29/2006
Last Update Date : 11/02/2020

Similar Medicare Providers

1295720019 — DR. SHAWN H HOBBS OD
Practice Location Address:
3855 GASKINS RD
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23233-1441
Practice Phone: 804-217-6363
Practice Fax: 804-217-6400
1902892201 — DR. ANDREW J MICHAEL MD
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1386613438 — DR. JOSEPH IUORNO M.D.
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1639126600 — DR. JONATHAN RICHARD NOBLE O.D.
Practice Location Address:
3855 GASKINS RD
HENRICO, VA
23233-1441
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Practice Fax: 804-217-6400
1629184239 — MEREDITH LEIGH DIEHL MD
Practice Location Address:
3855 GASKINS RD
HENRICO, VA
23233-1441
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1619138823 — ANDREW D. MUNRO MD
Practice Location Address:
3855 GASKINS RD
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23233-1441
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Practice Fax: 804-217-6400

Directions to “COMMONWEALTH EYE CARE ASSOCIATES PC ” Practice Location

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