Mary Lee Pemberton, Od PC
NPI 1720154974ActiveOrganization· Optometrist· Waynesboro, VA
Optometrist in Waynesboro, Virginia, registered in NPPES in November 2006. The authorized official on file is Mary Lee Pemberton, O.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1720154974 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 28, 2006 |
| Last updated in NPPES | Jun 12, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 0618000738 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (VA) |
|---|
Other Optometrist providers in Waynesboro
- 1336197540
- 1619492782
- 1669541751
- 1184660227
- 1144287368
- 1386741973
- 1003802422