MEDICARE: OPTIVIEW FAMILY EYECARE PLLC

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

General Provider Information

NPI Number	:	1871459602
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTIVIEW FAMILY EYECARE PLLC

Provider Business Mailing Address
First Line	:	4640 MONTICELLO AVE STE 8A
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23188-8230
Country	:	US
Telephone Number	:	757-645-3930
Fax Number	:

Provider Business Practice Location Address
First Line	:	4640 MONTICELLO AVE STE 8A
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23188-8230
Country	:	US
Telephone Number	:	757-645-3930
Fax Number	:

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	DR. AVANI SIDDHAPURA
Credential	:	OD
Telephone Number	:	757-645-3930

Provider Enumeration Date	:	12/24/2025
Last Update Date	:	01/27/2026

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