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MANDELL RETINA CENTER PC NPI 1861525305


NPI Information

NPI: 1861525305
Provider Name: MANDELL RETINA CENTER PC
Classification: Ophthalmology - 207WX0107X
Entity Type: Organization

Specialization: Retina Specialist

Address:
397 LITTLE NECK RD
3300 SOUTH BUILDING SUITE 202
VIRGINIA BEACH, VA
ZIP 23452
Phone: (757) 227-4300
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MANDELL RETINA CENTER PC is a retina specialist ophthalmology in Virginia Beach, VA. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. MANDELL RETINA CENTER PC NPI is 1861525305. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

397 LITTLE NECK RD
3300 SOUTH BUILDING SUITE 202
VIRGINIA BEACH, VA
ZIP 23452-765
Phone: (757) 227-4300
Fax: (757) 486-3125

The provider's authorized official is Jeanette M Basl .
The authorized official title is Admin and has the following contact phone number (757) 227-4300.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 10/9/2023.


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
1207W00000XOphthalmologyNo
2207WX0107XOphthalmologyRetina SpecialistYes

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
1C10134OTHERVIRGINIAMEDICARE

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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