| NPI | 1396949046 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-06-14 |
| Last Updated | 2015-09-22 |
| Authorized Official | Patricia Testamark Doctor Phone: 8048983373 |
| Mailing Address | 44 Medical Park Blvd, Ste H Petersburg, VA 23805-9349 United States Phone: (804) 898-3373 | Fax: (804) 479-3775 📍 View Map |
| Primary Practice Address | 44 Medical Park Blvd, Ste H Petersburg, VA 23805-9349 United States Phone: (804) 898-3373 | Fax: (804) 479-3775 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | VA | 010315891 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 152W00000X – Optometrist | VA | 0618000693 |
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About NPI 1396949046
Petersburg Family Eye Care is an organization registered in the CMS NPPES NPI Registry with NPI number 1396949046. The primary specialty listed is Optometrist. The organization is located in Petersburg, VA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-06-14. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1396949046?
NPI 1396949046 belongs to Petersburg Family Eye Care, a Optometrist in Petersburg, VA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1396949046 active?
The current status of NPI 1396949046 in the NPPES registry is Active. The record was last updated on 2015-09-22.
What specialty is NPI 1396949046?
NPI 1396949046 is classified under the taxonomy Optometrist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1396949046?
You can verify NPI 1396949046 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1396949046?
The primary practice address on file for NPI 1396949046 is 44 Medical Park Blvd, Petersburg, VA 23805-9349. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1396949046 issued?
NPI 1396949046 was first issued (enumerated) on 2007-06-14. The NPPES record was last updated on 2015-09-22.
Practice Location Map
Petersburg Family Eye Care is located at 44 Medical Park Blvd, Petersburg, VA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Petersburg Family Eye Care. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1396949046. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Optometrist | 0618000693 | VA |