MEDICARE: NINA J. COX, O.D., P.C.

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

General Provider Information

NPI Number	:	1740457753
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NINA J. COX, O.D., P.C.

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	:	PRESIDENT
Name	:	DR. NINA JAVIER COX
Credential	:	O.D.
Telephone Number	:	804-745-1922

Provider Enumeration Date	:	05/09/2008
Last Update Date	:	11/02/2020

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