MEDICARE: VIRGINIA MEDICAL EYE CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	0101246588	VA

General Provider Information

NPI Number	:	1871984716
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIRGINIA MEDICAL EYE CENTER

Provider Business Mailing Address
First Line	:	848 FIRST COLONIAL RD
Second Line	:	SUITE A
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23451-6126
Country	:	US
Telephone Number	:	757-428-1005
Fax Number	:	757-428-0514

Provider Business Practice Location Address
First Line	:	848 FIRST COLONIAL RD
Second Line	:	SUITE A
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23451-6126
Country	:	US
Telephone Number	:	757-428-1005
Fax Number	:	757-428-0514

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	DR. AVRUM Z MEIER
Credential	:	M.D.
Telephone Number	:	757-428-1005

Provider Enumeration Date	:	02/13/2015
Last Update Date	:	07/01/2015

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