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THE EYE SPECIALISTS LTD NPI 1720179104


NPI Information

NPI: 1720179104
Provider Name: THE EYE SPECIALISTS LTD
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 49D2091481

Address:
813 INDEPENDENCE BLVD
VIRGINIA BEACH, VA
ZIP 23455
Phone: (757) 490-9091
Get Directions

THE EYE SPECIALISTS LTD is an ophthalmology in Virginia Beach, VA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. THE EYE SPECIALISTS LTD NPI is 1720179104. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

813 INDEPENDENCE BLVD
VIRGINIA BEACH, VA
ZIP 23455-004
Phone: (757) 490-9091
Fax: (757) 490-3250

The provider's authorized official is Dietrich Albert Fellner .
The authorized official title is President and has the following contact phone number (757) 490-9091.

The CLIA number assigned to this NPI record is 49D2091481 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 5/20/2008.


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
1152W00000XOptometrist0618000757VIRGINIANo
2207W00000XOphthalmology0101232452VIRGINIAYes

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
1C30644OTHERVIRGINIARAILROAD MEDICARE
2H95912MEDICARE UPINVIRGINIA
30761520001OTHERVIRGINIADMERC CIGNA GOVERNMENT SERVICES
40761520001MEDICARE NSCVIRGINIA
5=========OTHERVIRGINIATRICARE
6110252OTHERVIRGINIAANTHEM BLUE CROSS
7002776T42MEDICARE ID-TYPE UNSPECIFIEDVIRGINIA
8010030013MEDICAIDVIRGINIA

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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