Healthcare Provider Details

I. General information

NPI: 1184625642
Provider Name (Legal Business Name): CATARACT AND REFRACTIVE SURGERY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 06/29/2021
Certification Date: 06/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2010 BREMO RD SUITE 132
RICHMOND VA
23226-2444
US

IV. Provider business mailing address

2010 BREMO RD #128
RICHMOND VA
23226-2444
US

V. Phone/Fax

Practice location:
  • Phone: 804-285-0680
  • Fax: 804-282-6365
Mailing address:
  • Phone: 804-285-0680
  • Fax: 804-282-6365

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: AMY BURTON
Title or Position: RCM MANAGER
Credential:
Phone: 434-385-5600