Glaucoma Laser Center Pc in Norfolk - Ophthalmology

Glaucoma Laser Center Pc - NPI 1891791521

Glaucoma Laser Center Pc is a Ophthalmology in Norfolk, Virginia. Glaucoma Laser Center Pc practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Glaucoma Laser Center Pc is 1891791521. The last update date is 2022-07-21.

Glaucoma Laser Center Pc's current location address is 160 Kingsley Ln, Norfolk, Virginia. You can contact this provider via phone number 7574401144 and fax number 7574401117. The mailing address for Glaucoma Laser Center Pc is 160 Kingsley Ln, Norfolk, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Glaucoma Laser Center Pc
Address 160 Kingsley Ln, Norfolk, Virginia
Phone Number 7574401144
Fax Number 7574401117
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Kerner J Dawnielle
Credentials MD
Telephone Number 7574401144

NPI Number Detail

NPI Number 1891791521
Provider Enumeration Date 2005-06-27
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 160 Kingsley Ln
City Norfolk
State Virginia (VA)
Post Code 235054600
Phone Number 7574401144
Fax Number 7574401117

Provider's Primary Taxonomy Detail

Speciality Ophthalmology
Taxonomy 207W00000X
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
6304869 VA --
242315 VA ANTHEM

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FAQs about Glaucoma Laser Center Pc

What is the Glaucoma Laser Center Pc's 1891791521?

The Glaucoma Laser Center Pc's NPI (National Provider Identifier) Number is 1891791521. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Glaucoma Laser Center Pc is physically located?

The Glaucoma Laser Center Pc is situated at the following address: 160 Kingsley Ln, Norfolk, VA 235054600.

What is the Glaucoma Laser Center Pc's specialty and taxonomy code?

The Glaucoma Laser Center Pc's specialty is Ophthalmology, and the corresponding taxonomy code is 207W00000X.

On what date did the Glaucoma Laser Center Pc receive its 1891791521 assignment from the Centers for Medicare & Medicaid Services?

The Glaucoma Laser Center Pc was assigned its 1891791521 by the Centers for Medicare & Medicaid Services on 2005-06-27.

As of what date were the details pertaining to Glaucoma Laser Center Pc last refreshed?

The information related to the Glaucoma Laser Center Pc, including its address, specialty, and other relevant details, was last updated on 2022-07-21.

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