Organization
ABINGDON EYE ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK ELLISON CONRAD M.D. (OWNER)
(276) 628-9141
Entity
Organization
Contact information
Practice address
418 E MAIN ST, ABINGDON, VA 24210-3408
(276) 628-9141
(276) 628-4441
Mailing address
418 E MAIN ST, ABINGDON, VA 24210-3408
(276) 628-9141
(276) 628-4441
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0101021147
VA
208200000X
Plastic Surgery Physician
Primary
0101021147
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016335
OUT OF STATE BC CLAIMS
VA
01
—
078701
ANTHEM
VA
Enumeration date
06/28/2006
Last updated
09/11/2025
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