Healthcare Provider Details

I. General information

NPI: 1306767132
Provider Name (Legal Business Name): PAR VISION CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2026
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 GROVE AVE
RICHMOND VA
23221-2201
US

IV. Provider business mailing address

1412 GREENBRIER PKWY STE 108A
CHESAPEAKE VA
23320-2832
US

V. Phone/Fax

Practice location:
  • Phone: 804-264-5000
  • Fax:
Mailing address:
  • Phone: 757-424-3135
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: PRAJAY PATEL
Title or Position: OWNER
Credential: OD
Phone: 717-451-4005