Dietrich Albert Fellner in Virginia Beach - Ophthalmology

Dietrich Albert Fellner - NPI 1922097179

Dietrich Albert Fellner is a Ophthalmology in Virginia Beach, Virginia. Dietrich Albert Fellner practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Dietrich Albert Fellner is 1922097179. The last update date is 2013-05-09.

Dietrich Albert Fellner's current location address is 813 Independence Blvd, Virginia Beach, Virginia. You can contact this provider via phone number 7574909091 and fax number 7574903250. The mailing address for Dietrich Albert Fellner is 813 Independence Blvd, Virginia Beach, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Dietrich Albert Fellner
Address 813 Independence Blvd, Virginia Beach, Virginia
Phone Number 7574909091
Fax Number 7574903250
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1922097179
Provider Enumeration Date 2005-10-20
Last Updated Date 2013-05-09

Provider Mailing Address Detail

Address 813 Independence Blvd
City Virginia Beach
State Virginia (VA)
Post Code 234556004
Phone Number 7574909091
Fax Number 7574903250

Provider's Primary Taxonomy Detail

Speciality Ophthalmology
Taxonomy 207W00000X
Licence No 101232452
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
110252 VA ANTHEM BLUE CROSS
541206650 VA TRICARE
10030013 VA --

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FAQs about Dietrich Albert Fellner

What is the unique identification code assigned to Dietrich Albert Fellner by the Centers for Medicare & Medicaid Services?

The Dietrich Albert Fellner has been issued the NPI (National Provider Identifier) 1922097179. 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 Dietrich Albert Fellner?

The Dietrich Albert Fellner is situated at 813 Independence Blvd, in the city of Virginia Beach, state of VA, with the zip code 234556004.

What is the Dietrich Albert Fellner's specialty and taxonomy code?

The Dietrich Albert Fellner's specialty is Ophthalmology, and the corresponding taxonomy code is 207W00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1922097179 to Dietrich Albert Fellner?

The Centers for Medicare & Medicaid Services originally issued the 1922097179 to Dietrich Albert Fellner on 2005-10-20.

As of what date was the information regarding Dietrich Albert Fellner, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Dietrich Albert Fellner, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-05-09.

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