Healthcare Provider Details

I. General information

NPI: 1992727820
Provider Name (Legal Business Name): VIRGINIA EYE CONSULTANTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2006
Last Update Date: 03/27/2023
Certification Date: 03/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

241 CORPORATE BLVD STE 210
NORFOLK VA
23502-4965
US

IV. Provider business mailing address

241 CORPORATE BLVD
NORFOLK VA
23502
US

V. Phone/Fax

Practice location:
  • Phone: 757-622-2200
  • Fax: 757-622-4866
Mailing address:
  • Phone: 757-622-2200
  • Fax: 757-622-4866

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH GIRA
Title or Position: CHIEF MEDICAL OFFICER
Credential: MD
Phone: 636-200-4393