Healthcare Provider Details

I. General information

NPI: 1053766683
Provider Name (Legal Business Name): DR. CHRISTOPHER MCGARRY AND ASSOCIATES, OPTOMETRISTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2016
Last Update Date: 06/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3114 N PARHAM RD
HENRICO VA
23294-4407
US

IV. Provider business mailing address

3114 N PARHAM RD
HENRICO VA
23294-4407
US

V. Phone/Fax

Practice location:
  • Phone: 804-270-2020
  • Fax: 804-270-1044
Mailing address:
  • Phone: 804-270-2020
  • Fax: 804-270-1044

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number0618000225
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number0618000225
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License Number0618000225
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code152WS0006X
TaxonomySports Vision Optometrist
License Number0618000225
License Number StateVA
# 5
Primary TaxonomyN
Taxonomy Code152WX0102X
TaxonomyOccupational Vision Optometrist
License Number0618000225
License Number StateVA

VIII. Authorized Official

Name: DR. CHRISTOPHER ROBERT MCGARRY
Title or Position: PRESIDENT
Credential: OD
Phone: 804-270-2020