Provider Demographics
NPI:1134442759
Name:GARY L. BEST O.D. FAMILY EYE CARE P.C.
Entity type:Organization
Organization Name:GARY L. BEST O.D. FAMILY EYE CARE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BEST
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:540-389-0731
Mailing Address - Street 1:904 APPERSON DR
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:VA
Mailing Address - Zip Code:24153-7135
Mailing Address - Country:US
Mailing Address - Phone:540-389-0731
Mailing Address - Fax:540-389-1192
Practice Address - Street 1:904 APPERSON DR
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153-7135
Practice Address - Country:US
Practice Address - Phone:540-389-0731
Practice Address - Fax:540-389-1192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-10
Last Update Date:2013-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618001096152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA92800Medicare UPIN