Healthcare Provider Details

I. General information

NPI: 1760689277
Provider Name (Legal Business Name): ARIELLE R SPITZE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/28/2007
Last Update Date: 03/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

885 KEMPSVILLE RD SUITE #101
NORFOLK VA
23502-3800
US

IV. Provider business mailing address

885 KEMPSVILLE RD SUITE #101
NORFOLK VA
23502-3800
US

V. Phone/Fax

Practice location:
  • Phone: 757-461-1444
  • Fax: 757-461-8238
Mailing address:
  • Phone: 757-461-1444
  • Fax: 757-461-8238

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberA124712
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberP3080
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code207WX0009X
TaxonomyGlaucoma Specialist (Ophthalmology) Physician
License Number0101245715
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code207WX0109X
TaxonomyNeuro-ophthalmology Physician
License Number0101245715
License Number StateVA
# 5
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number0101245715
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: