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PLATINUM EYE CARE LLC NPI 1790837854


NPI Information

NPI: 1790837854
Provider Name: PLATINUM EYE CARE LLC

Doing Business As: MODERN EYES OPTOMETRY

Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 49D2042314

Address:
1975 GLENN MITCHELL DR
SUITE 104
VIRGINIA BEACH, VA
ZIP 23456
Phone: (757) 368-3937
Get Directions

PLATINUM EYE CARE LLC is an optometrist in Virginia Beach, VA. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. PLATINUM EYE CARE LLC NPI is 1790837854. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Modern Eyes Optometry.

The provider's business location address is:

1975 GLENN MITCHELL DR
SUITE 104
VIRGINIA BEACH, VA
ZIP 23456-167
Phone: (757) 368-3937
Fax: (757) 516-7032

The provider's authorized official is Rahim Kanji .
The authorized official title is Owner and has the following contact phone number (757) 368-3937.

The CLIA number assigned to this NPI record is 49D2042314 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 11/2/2015.


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
1152W00000XOptometrist0618001467VIRGINIAYes

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
1VV0976AMEDICARE PINVIRGINIA
2VAA113560MEDICARE PINVIRGINIA
3VV0977AMEDICARE PINVIRGINIA
4VV0975AMEDICARE 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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