Southside Optical Center Llc in Farmville - Ophthalmology

Southside Optical Center Llc - NPI 1386650729

Southside Optical Center Llc is a Ophthalmology in Farmville, Virginia. Southside Optical Center Llc practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Southside Optical Center Llc is 1386650729. The last update date is 2010-01-21.

Southside Optical Center Llc's current location address is Po Box 506, Farmville, Virginia. You can contact this provider via phone number 4343929555 and fax number 4343921524. The mailing address for Southside Optical Center Llc is Po Box 506, Farmville, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Southside Optical Center Llc
Address Po Box 506, Farmville, Virginia
Phone Number 4343929555
Fax Number 4343921524
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Laroche W Ripon
Credentials MD
Telephone Number 4343929555

NPI Number Detail

NPI Number 1386650729
Provider Enumeration Date 2006-07-31
Last Updated Date 2010-01-21

Provider Mailing Address Detail

Address Po Box 506
City Farmville
State Virginia (VA)
Post Code 239010506
Phone Number 4343929555
Fax Number 4343921524

Provider's Primary Taxonomy Detail

Speciality Ophthalmology
Taxonomy 207W00000X
Licence No 528
Definition:
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 incl

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9280553 VA --

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FAQs about Southside Optical Center Llc

What is the unique 10-digit identification code issued to Southside Optical Center Llc by the Centers for Medicare & Medicaid Services?

The Southside Optical Center Llc has been assigned the NPI (National Provider Identifier) 1386650729 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Southside Optical Center Llc is physically located?

The Southside Optical Center Llc is physically situated at the following address: Po Box 506, Farmville, VA, 239010506.

What is Southside Optical Center Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Southside Optical Center Llc is Ophthalmology, and the taxonomy code that categorizes this field of expertise is 207W00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1386650729 to Southside Optical Center Llc?

The Centers for Medicare & Medicaid Services assigned the 1386650729 to Southside Optical Center Llc on 2006-07-31.

As of what date was the information regarding Southside Optical Center Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Southside Optical Center Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-01-21.

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