MEDICARE: MR. STEVEN ROWLAND WILKINS 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	0618000419	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	VV82430281	OTHER	VA	MEDICARE PTAN
2	P01143095	OTHER	VA	RAILROAD MEDICARE PTAN

General Provider Information

NPI Number	:	1609939206
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEVEN ROWLAND WILKINS O.D.

Provider Business Mailing Address
First Line	:	5386 KEMPSRIVER DR
Second Line	:	SUITE 101
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-5349
Country	:	US
Telephone Number	:	757-420-2001
Fax Number	:	757-420-3693

Provider Business Practice Location Address
First Line	:	5386 KEMPSRIVER DR
Second Line	:	SUITE 101
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-5349
Country	:	US
Telephone Number	:	757-420-2001
Fax Number	:	757-420-3693

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

Provider Enumeration Date	:	12/18/2006
Last Update Date	:	10/24/2013

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Directions to “ MR. STEVEN ROWLAND WILKINS O.D.” Practice Location

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