| |
12420 Warwick Blvd, Suite 1d, Newport News, VA 23606-3001 | |
(757) 599-0700 | |
(757) 594-5207 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 12420 Warwick Blvd, Newport News, Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083630651 | NPI | - | NPPES |
1083630651 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
12420 Warwick Blvd, Suite 1d, Newport News, VA 23606-3001 Ph: (757) 599-0700 | 12420 Warwick Blvd, Suite 1d, Newport News, VA 23606-3001 Ph: (757) 599-0700 |