Healthcare Provider Details

I. General information

NPI: 1801984919
Provider Name (Legal Business Name): DRS DOWNEY&VEITH OPTOMETRIST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 03/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 W SPOTSWOOD AVE
ELKTON VA
22827-1100
US

IV. Provider business mailing address

PO BOX 186
ELKTON VA
22827-0186
US

V. Phone/Fax

Practice location:
  • Phone: 540-298-1671
  • Fax:
Mailing address:
  • Phone: 540-298-1671
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number0601000241
License Number StateVA

VIII. Authorized Official

Name: DR. ROBERT G VEITH
Title or Position: OPTOMETRIST
Credential: O.D.
Phone: 540-298-1671