Provider Demographics
NPI:1790848265
Name:FRANK H. REULING JR MD PC & THOMAS P KEENAN MD PC PTR
Entity Type:Organization
Organization Name:FRANK H. REULING JR MD PC & THOMAS P KEENAN MD PC PTR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPHTHALMOLOGISTS
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:H
Authorized Official - Last Name:REULING
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:540-667-7463
Mailing Address - Street 1:302 S CAMERON ST
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-4603
Mailing Address - Country:US
Mailing Address - Phone:540-667-7463
Mailing Address - Fax:540-667-8765
Practice Address - Street 1:302 S CAMERON ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-4603
Practice Address - Country:US
Practice Address - Phone:540-667-7463
Practice Address - Fax:540-667-8765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2009-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006307761Medicaid
VA006329021Medicaid
VAC01569Medicare PIN