Healthcare Provider Details

I. General information

NPI: 1851426738
Provider Name (Legal Business Name): DR. VALARIE L. SIMPSON, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 E MAIN ST SUITE 120
RICHMOND VA
23219-3531
US

IV. Provider business mailing address

524 N 27TH ST
RICHMOND VA
23223-6502
US

V. Phone/Fax

Practice location:
  • Phone: 804-648-0900
  • Fax: 804-648-4367
Mailing address:
  • Phone: 804-643-4458
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number0618001357
License Number StateVA

VIII. Authorized Official

Name: DR. VALARIE LYNN SIMPSON
Title or Position: PRESIDENT
Credential: O.D.
Phone: 804-648-0900