George W. Pegram Iii

LBN: George W. Pegram Iii
George W. Pegram Iii is an health care organization with primary practice located at 1109 Poindexter St , Chesapeake VA 23324-2424. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. George W. Pegram Iii can be contacted via phone (757) 545-3930, or through Pegram, George Worthy via phone (757) 545-3930.

Contact Information

Primary practice address
1109 Poindexter St Chesapeake VA 23324-2424
Phone: (757) 545-3930
Fax: (757) 545-0193
Website:
Map and Directions
Authorized official contact:
Name: Pegram, George Worthy Doctor of Optometry (OD)
Phone: (757) 545-3930

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0618000331 Virginia

Profile Details

NPI number 1720154057
LBN Legal business name George W. Pegram Iii
DBA Doing business as
Authorized official Pegram, George Worthy Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1720154057 NPPES
Virginia Other 227443 MDIPA
Virginia Other 181445 MDIPA

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