Virginia Chetverikov (NPI# 1093745861, PAC ID# 2365597416) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1093745861 |
| PAC ID by PECOS | 2365597416 |
| Professional Enrollment ID | I20190122003557 |
| Full Name | Virginia Chetverikov |
| Organization Legal Name | MOBILE VISION OF SOUTH CAROLINA LLC |
| Address |
717 Trolley Rd Summerville SC 29485-5287 |
| Phone Number | 5022442420 |
| Gender | F |
| Medical School | OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 1998 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 1951609155 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 717 Trolley Rd, Summerville, SC 29485-5287 | 5022442420 | MOBILE VISION OF SOUTH CAROLINA LLC |
| Organization Legal Name | MOBILE VISION OF SOUTH CAROLINA LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen A. Clary | Optometry | Mobile Vision of South Carolina LLC | 717 Trolley Rd, Summerville, SC 29485-5287 |
| Kelli Mccartney | Optometry | Mobile Vision of South Carolina LLC | 717 Trolley Rd, Summerville, SC 29485-5287 |
| Brian James Poole | Optometry | Mobile Vision of South Carolina LLC | 717 Trolley Rd, Summerville, SC 29485-5287 |
| Street Address |
717 TROLLEY RD |
| City | SUMMERVILLE |
| State | SC |
| Zip | 29485-5287 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen A. Clary | Optometry | Mobile Vision of South Carolina LLC | 717 Trolley Rd, Summerville, SC 29485-5287 |
| Kelli Mccartney | Optometry | Mobile Vision of South Carolina LLC | 717 Trolley Rd, Summerville, SC 29485-5287 |
| Brian James Poole | Optometry | Mobile Vision of South Carolina LLC | 717 Trolley Rd, Summerville, SC 29485-5287 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn J Gershkowitz | Nurse Practitioner | Equilibrium Endocrinology, Pa | 4340 Ladson Rd, Summerville, SC 29485 |
| Robert Stephen Iannace Jr. | Chiropractic | 1357 Bacons Bridge Rd, Summerville, SC 29485-3335 | |
| Marci H Woods | Nurse Practitioner | Roper Saint Francis Physicians Network | 9500 Dorchester Rd, Suite 362, Summerville, SC 29485-4304 |
| Judith L Hoffman | Clinical Social Worker | 89 B Old Trolley Rd, Suite 209, Summerville, SC 29485-4933 | |
| Christopher John Jones | Psychiatry | 709 Old Trolley Rd, Summerville, SC 29485-5203 | |
| Susan S Crocker | Psychiatry | 709 Old Trolley Rd, Summerville, SC 29485-5203 | |
| Christine Diane Hamolia | Certified Clinical Nurse Specialist (cns) | 709 Old Trolley Rd, Summerville, SC 29485-5203 | |
| James C Turn | Chiropractic | Willturn PC | 705 Old Trolley Rd E, Summerville, SC 29485-5212 |
| Thomas Edewaard | Optometry | 705 Old Trolley Rd A, Summerville, SC 29485-5212 | |
| Kristian Mostert | Optometry | Ocean Eye PC | 717 Old Trolley Rd, Suite 3, Summerville, SC 29485-5287 |
| Find all physicians in zip 29485 | |||
| City | SUMMERVILLE |
| Zip Code | 29485 |
| Specialty | OPTOMETRY |
| City + Specialty | SUMMERVILLE + OPTOMETRY |
Please comment or provide details below to improve the information on Virginia Chetverikov.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.