Joanna Kushon O.D. P.C.

LBN: Joanna Kushon O.D. P.C.
Joanna Kushon O.D. P.C. is an health care organization with primary practice located at 3590 Holland Rd Suite 104, Virginia Beach VA 23452-4053. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Joanna Kushon O.D. P.C. can be contacted via phone (757) 340-9680, or through Kushon, Joanna Carole via phone (757) 340-9680.

Contact Information

Primary practice address
3590 Holland Rd Suite 104 Virginia Beach VA 23452-4053
Phone: (757) 340-9680
Fax: (757) 463-5496
Website:
Map and Directions
Authorized official contact:
Name: Kushon, Joanna Carole Doctor of Optometry (OD)
Phone: (757) 340-9680

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0618001249 Virginia

Profile Details

NPI number 1407917040
LBN Legal business name Joanna Kushon O.D. P.C.
DBA Doing business as
Authorized official Kushon, Joanna Carole Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2006
Last updated Dec 9th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407917040 NPPES
Virginia Other C10476 MEDICARE GROUP PTAN
Virginia MEDICAID 010129265 MEDICARE GROUP PTAN

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