Healthcare Provider Details

I. General information

NPI: 1427165810
Provider Name (Legal Business Name): TOWN CENTER EYE CARE PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 06/29/2021
Certification Date: 06/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1503 ENTERPRISE DR
LYNCHBURG VA
24502-5751
US

IV. Provider business mailing address

PO BOX 45923
BALTIMORE MD
21297-5923
US

V. Phone/Fax

Practice location:
  • Phone: 434-832-0700
  • Fax: 434-832-0736
Mailing address:
  • Phone: 877-969-0392
  • Fax: 434-385-1414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: AMY BURTON
Title or Position: INSURANCE MANAGER
Credential:
Phone: 877-969-0392