Gordon W. Jennings Od Pc
LBN: Gordon W. Jennings Od Pc
Gordon W. Jennings Od Pc is an health care organization with primary practice located at 310 E Main St , Wytheville VA 24382-2326. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Gordon W. Jennings Od Pc can be contacted via phone (276) 228-2771, or through Taylor, Billie L via phone (276) 228-2771.
Contact Information
Primary practice address
310 E Main St
Wytheville VA 24382-2326
Phone: (276) 228-2771
Fax: (276) 228-9097
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 0618000167 | Virginia |
Profile Details
NPI number | 1669535050 |
---|---|
LBN Legal business name | Gordon W. Jennings Od Pc |
DBA Doing business as | |
Authorized official | Taylor, Billie L ABO, NCLC, CPOT |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Dec 18th, 2006 |
Last updated | Jun 20th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1669535050 | NPPES |
Virginia | Other | 410001097 | MEDICARE # DR. GRAU (SECOND DOCTOR IN PRACTICE) |
Virginia | MEDICAID | 009234268 | MEDICARE # DR. GRAU (SECOND DOCTOR IN PRACTICE) |
Virginia | Other | 079556 | MEDICARE # DR. GRAU (SECOND DOCTOR IN PRACTICE) |
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