Healthcare Provider Details

I. General information

NPI: 1477654135
Provider Name (Legal Business Name): CHRISTOPHER ROBERT MCGARRY OD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 09/30/2021
Certification Date: 09/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3114 N PARHAM RD STE 104
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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: