Glaucoma Laser Center Pc in Norfolk - Glaucoma Specialist
Glaucoma Laser Center Pc - NPI 1891791521
Glaucoma Laser Center Pc is a Glaucoma Specialist in Norfolk, Virginia. Glaucoma Laser Center Pc practices all healthcare services and medical treatments related to Glaucoma Specialist. 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 | Glaucoma Specialist |
|---|---|
| Taxonomy | 207Wx0009X |
| Licence No | 101052595 |
|
Definition: An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6304869 | VA | -- | |
| 242315 | VA | ANTHEM |
Post Comment/ Review Below
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 Glaucoma Specialist, and the corresponding taxonomy code is 207Wx0009X.
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.