MEDICARE: AMANDA ESLINGER

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	0620000067	VA

General Provider Information

NPI Number	:	1861292146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA ESLINGER

Provider Business Mailing Address
First Line	:	145 GRANBY ST APT 607
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23510-1660
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	241 CORPORATE BLVD
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23502-4975
Country	:	US
Telephone Number	:	757-622-2200
Fax Number	:

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

Provider Enumeration Date	:	03/17/2025
Last Update Date	:	03/11/2026

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