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:
Map and Directions
Authorized official contact:
Name: Taylor, Billie L ABO, NCLC, CPOT
Phone: (276) 228-2771

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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