MEDICARE: DR. NINA JAVIER COX O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	0618000030	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093717936
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NINA JAVIER COX O.D.

Provider Business Mailing Address
First Line	:	9509 AMBERDALE DR
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23236-1256
Country	:	US
Telephone Number	:	804-745-1922
Fax Number	:	804-249-7347

Provider Business Practice Location Address
First Line	:	9509 AMBERDALE DR
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23236-1256
Country	:	US
Telephone Number	:	804-745-1922
Fax Number	:	804-249-7347

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	05/25/2012

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