Eyelid & Oculoplastic Consultants, Pc in Virginia Beach - Specialist

Eyelid & Oculoplastic Consultants, Pc - NPI 1154535623

Eyelid & Oculoplastic Consultants, Pc is a Specialist in Virginia Beach, Virginia. Eyelid & Oculoplastic Consultants, Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Eyelid & Oculoplastic Consultants, Pc is 1154535623. The last update date is 2020-08-22.

Eyelid & Oculoplastic Consultants, Pc's current location address is 1821 Old Donation Pkwy, Virginia Beach, Virginia. You can contact this provider via phone number 7574964864 and fax number 7574964942. The mailing address for Eyelid & Oculoplastic Consultants, Pc is 1821 Old Donation Pkwy, Virginia Beach, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Eyelid & Oculoplastic Consultants, Pc
Address 1821 Old Donation Pkwy, Virginia Beach, Virginia
Phone Number 7574964864
Fax Number 7574964942
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Mitsch James Matthew
Credentials M.D.
Telephone Number 7574964864

NPI Number Detail

NPI Number 1154535623
Provider Enumeration Date 2007-05-10
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1821 Old Donation Pkwy
City Virginia Beach
State Virginia (VA)
Post Code 234543033
Phone Number 7574964864
Fax Number 7574964942

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 101052465
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6900925 VA --

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FAQs about Eyelid & Oculoplastic Consultants, Pc

What is the unique identifier code issued to Eyelid & Oculoplastic Consultants, Pc by the Centers for Medicare & Medicaid Services (CMS)?

The Eyelid & Oculoplastic Consultants, Pc has been assigned the NPI (National Provider Identifier) 1154535623. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Eyelid & Oculoplastic Consultants, Pc is geographically located?

The Eyelid & Oculoplastic Consultants, Pc is physically situated at the following location: 1821 Old Donation Pkwy, Virginia Beach, VA, 234543033.

What is the Eyelid & Oculoplastic Consultants, Pc's specialty and taxonomy code?

The Eyelid & Oculoplastic Consultants, Pc's specialty is Specialist, and the corresponding taxonomy code is 174400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1154535623 to Eyelid & Oculoplastic Consultants, Pc?

The Centers for Medicare & Medicaid Services assigned the 1154535623 to Eyelid & Oculoplastic Consultants, Pc on 2007-05-10.

As of what date was the information pertaining to Eyelid & Oculoplastic Consultants, Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Eyelid & Oculoplastic Consultants, Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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