Healthcare Provider Details

I. General information

NPI: 1871459602
Provider Name (Legal Business Name): OPTIVIEW FAMILY EYECARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/24/2025
Last Update Date: 12/24/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4640 MONTICELLO AVE STE 8A
WILLIAMSBURG VA
23188-8230
US

IV. Provider business mailing address

104 KAITLYN CT
YORKTOWN VA
23693-2041
US

V. Phone/Fax

Practice location:
  • Phone: 757-645-3930
  • Fax:
Mailing address:
  • Phone: 757-645-3930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. AVANI SIDDHAPURA
Title or Position: OPTOMETRIST
Credential: OD
Phone: 757-645-3930