Southside Eye Care Pllc in Chesapeake - Optometrist
Southside Eye Care Pllc - NPI 1992794325
Southside Eye Care Pllc is a Optometrist in Chesapeake, Virginia. Southside Eye Care Pllc practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Southside Eye Care Pllc is 1992794325. The last update date is 2015-06-15.
Southside Eye Care Pllc's current location address is 3206 Churchland Blvd, Chesapeake, Virginia. You can contact this provider via phone number 7574840101 and fax number 7574840515. The mailing address for Southside Eye Care Pllc is 3206 Churchland Blvd, Chesapeake, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southside Eye Care Pllc |
|---|---|
| Address | 3206 Churchland Blvd, Chesapeake, Virginia |
| Phone Number | 7574840101 |
| Fax Number | 7574840515 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Keverline R Michael |
| Credentials | MD |
| Telephone Number | 7574840101 |
NPI Number Detail
| NPI Number | 1992794325 |
|---|---|
| Provider Enumeration Date | 2005-10-18 |
| Last Updated Date | 2015-06-15 |
Provider Mailing Address Detail
| Address | 3206 Churchland Blvd |
|---|---|
| City | Chesapeake |
| State | Virginia (VA) |
| Post Code | 233215206 |
| Phone Number | 7574840101 |
| Fax Number | 7574840515 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 618000583 |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 89015TY | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Southside Eye Care Pllc by the Centers for Medicare & Medicaid Services?
The Southside Eye Care Pllc has been assigned the NPI (National Provider Identifier) 1992794325 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Southside Eye Care Pllc is located?
The Southside Eye Care Pllc is situated at the following address: 3206 Churchland Blvd, Chesapeake, VA, 233215206.
What is Southside Eye Care Pllc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Southside Eye Care Pllc is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1992794325 to Southside Eye Care Pllc?
The Centers for Medicare & Medicaid Services originally issued the 1992794325 to Southside Eye Care Pllc on 2005-10-18.
As of what date were the details pertaining to Southside Eye Care Pllc last refreshed?
The information related to the Southside Eye Care Pllc, including its address, specialty, and other relevant details, was last updated on 2015-06-15.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY