Mark A Pavilack in Portsmouth - Ophthalmology
Mark A Pavilack - NPI 1245238096
Mark A Pavilack is a Ophthalmology in Portsmouth, Virginia. Mark A Pavilack practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Mark A Pavilack is 1245238096. The last update date is 2013-04-30.
Mark A Pavilack's current location address is 3235 Academy Ave, Portsmouth, Virginia. You can contact this provider via phone number 7574830400. The mailing address for Mark A Pavilack is 3235 Academy Ave, Portsmouth, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark A Pavilack |
|---|---|
| Address | 3235 Academy Ave, Portsmouth, Virginia |
| Phone Number | 7574830400 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1245238096 |
|---|---|
| Provider Enumeration Date | 2005-07-13 |
| Last Updated Date | 2013-04-30 |
Provider Mailing Address Detail
| Address | 3235 Academy Ave |
|---|---|
| City | Portsmouth |
| State | Virginia (VA) |
| Post Code | 237033200 |
| Phone Number | 7574830400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | 101232985 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6309909 | VA | -- | |
| 1245238096 | VA | -- | |
| 247538 | VA | ANTHEM |
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What is the unique identification code assigned to Mark A Pavilack by the Centers for Medicare & Medicaid Services?
The Mark A Pavilack has been issued the NPI (National Provider Identifier) 1245238096. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mark A Pavilack?
The Mark A Pavilack is situated at 3235 Academy Ave, in the city of Portsmouth, state of VA, with the zip code 237033200.
What is the Mark A Pavilack's specialty and taxonomy code?
The Mark A Pavilack's specialty is Ophthalmology, and the corresponding taxonomy code is 207W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1245238096 to Mark A Pavilack?
The Mark A Pavilack received its 1245238096 assignment from the Centers for Medicare & Medicaid Services on 2005-07-13.
As of what date was the information regarding Mark A Pavilack, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark A Pavilack, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-04-30.
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