Pegram, George Worthy

Pegram, George Worthy is an sole proprietor health care provider with primary practice located at 801 Poindexter St Ste 115 , Chesapeake VA 23324-2358. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Pegram, George Worthy can be contacted via phone (757) 545-3930.

Contact Information

Primary practice address
801 Poindexter St Ste 115 Chesapeake VA 23324-2358
Phone: (757) 545-3930
Fax: (757) 545-0193
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0601001900 Virginia

Profile Details

NPI number 1740264662
LBN Legal business name Pegram, George Worthy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2005
Last updated Sep 13th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740264662 NPPES
Virginia Other 940935 EYEMED VISION CARE
Virginia Other 5452 EYEMED VISION CARE
Virginia MEDICAID 009238182 EYEMED VISION CARE

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