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CHRISTOPHER C FUSCO OD INC NPI 1194033126


NPI Information

NPI: 1194033126
Provider Name: CHRISTOPHER C FUSCO OD INC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
812 EDEN WAY N
CHESAPEAKE, VA
ZIP 23320
Phone: (757) 424-4177
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CHRISTOPHER C FUSCO OD INC is a clinic center in Chesapeake, VA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CHRISTOPHER C FUSCO OD INC NPI is 1194033126. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

812 EDEN WAY N
CHESAPEAKE, VA
ZIP 23320-602
Phone: (757) 424-4177
Fax: (757) 424-0496

The provider's authorized official is Christopher Charles Fusco .
The authorized official title is Owner/president and has the following contact phone number (757) 424-4177.

The enumeration date for this NPI number is 9/24/2010 and was last updated on 11/3/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist0618000205VIRGINIANo
2261Q00000XClinic/Center0618000205VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1T83551MEDICARE UPINVIRGINIA
2VAA102585MEDICARE PINVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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