George W. Pegram Iii in Chesapeake - Optometrist
George W. Pegram Iii - NPI 1720154057
George W. Pegram Iii is a Optometrist in Chesapeake, Virginia. George W. Pegram Iii practices all healthcare services and medical treatments related to Optometrist. The NPI Number for George W. Pegram Iii is 1720154057. The last update date is 2020-08-22.
George W. Pegram Iii's current location address is 1109 Poindexter St, Chesapeake, Virginia. You can contact this provider via phone number 7575453930 and fax number 7575450193. The mailing address for George W. Pegram Iii is 1109 Poindexter St, Chesapeake, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | George W. Pegram Iii |
|---|---|
| Address | 1109 Poindexter St, Chesapeake, Virginia |
| Phone Number | 7575453930 |
| Fax Number | 7575450193 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Pegram Worthy George |
| Credentials | O.D. |
| Telephone Number | 7575453930 |
NPI Number Detail
| NPI Number | 1720154057 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1109 Poindexter St |
|---|---|
| City | Chesapeake |
| State | Virginia (VA) |
| Post Code | 233242424 |
| Phone Number | 7575453930 |
| Fax Number | 7575450193 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 618000331 |
|
Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 227443 | VA | MDIPA | |
| 181445 | VA | ANTHEM BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to George W. Pegram Iii by the Centers for Medicare & Medicaid Services?
The George W. Pegram Iii has been issued the NPI (National Provider Identifier) 1720154057 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where George W. Pegram Iii is geographically located?
The George W. Pegram Iii is physically situated at the following location: 1109 Poindexter St, Chesapeake, VA, 233242424.
What is the George W. Pegram Iii's specialty and taxonomy code?
The George W. Pegram Iii's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1720154057 to George W. Pegram Iii?
The George W. Pegram Iii received its 1720154057 assignment from the Centers for Medicare & Medicaid Services on 2006-11-28.
When was the information pertaining to George W. Pegram Iii most recently updated or revised?
The details related to George W. Pegram Iii, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.