Wilcox, Peter Edward
Wilcox, Peter Edward is an sole proprietor health care provider with primary practice located at 2652 George Washington Memorial Hwy Ste 1, Hayes VA 23072-3464. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Wilcox, Peter Edward can be contacted via phone (804) 642-9800.Contact Information
Primary practice address
2652 George Washington Memorial Hwy Ste 1
Hayes VA 23072-3464
Phone: (804) 642-9800
Fax: (804) 642-0334
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0618000147 | Virginia |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 0618000147 | Virginia |
Profile Details
| NPI number | 1265435283 |
|---|---|
| LBN Legal business name | Wilcox, Peter Edward |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2005 |
| Last updated | Aug 20th, 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 | 1265435283 | NPPES |
| Other | 1250960001 | MEDICARE DMERC | |
| MEDICAID | 92-3438-1 | MEDICARE DMERC |
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