MEDICARE: DOUGLAS M RAMPONA MD PC

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
2	207W00000X	Ophthalmology Physician

General Provider Information

NPI Number	:	1144304916
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOUGLAS M RAMPONA MD PC

Provider Business Mailing Address
First Line	:	848 FIRST COLONIAL RD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23451-6126
Country	:	US
Telephone Number	:	757-428-1005
Fax Number	:	757-428-0514

Provider Business Practice Location Address
First Line	:	848 FIRST COLONIAL RD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23451-6126
Country	:	US
Telephone Number	:	757-428-1005
Fax Number	:	757-428-0514

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DOUGLAS MERCER RAMPONA
Credential	:	MD
Telephone Number	:	757-428-1005

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	06/28/2012

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