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VIRGINIA EYECARE CLINIC LLC NPI 1710991708


NPI Information

NPI: 1710991708
Provider Name: VIRGINIA EYECARE CLINIC, LLC
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
1193 PLAZA DR
GRUNDY, VA
ZIP 24614
Phone: (276) 935-4558
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VIRGINIA EYECARE CLINIC, LLC is an optometrist in Grundy, 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. VIRGINIA EYECARE CLINIC, LLC NPI is 1710991708. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1193 PLAZA DR
GRUNDY, VA
ZIP 24614-780
Phone: (276) 935-4558
Fax: (276) 935-2993

The provider's authorized official is Amanda Joy Umlandt .
The authorized official title is Owner/optometrist and has the following contact phone number (276) 935-2292.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 1/15/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist0601002211VIRGINIANo
2152W00000XOptometristVIRGINIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1143512OTHERVIRGINIAANTHEM
29200061001MEDICAIDWEST VIRGINIA
3009237348MEDICAIDVIRGINIA

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: 5/5/2024

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