Mcgrew, Greg Wesley
Mcgrew, Greg Wesley is an individual health care provider with primary practice located at 12 Fairfax St Se , Leesburg VA 20175-3616. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mcgrew, Greg Wesley can be contacted via phone (703) 777-1299.Contact Information
Primary practice address
12 Fairfax St Se
Leesburg VA 20175-3616
Phone: (703) 777-1299
Fax: (703) 777-5645
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0618000421 | Virginia |
Profile Details
| NPI number | 1386643344 |
|---|---|
| LBN Legal business name | Mcgrew, Greg Wesley |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Feb 8th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386643344 | NPPES |
| Virginia | MEDICAID | 009236597 |
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