Premier Ophthalmology, Plc

LBN: Premier Ophthalmology, Plc
Premier Ophthalmology, Plc is an health care organization with primary practice located at 477 Viking Dr Suite 110, Virginia Beach VA 23452-7349. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Premier Ophthalmology, Plc can be contacted via phone (757) 340-8383, or through Pavilack, Mark via phone (757) 340-8383.

Contact Information

Primary practice address
477 Viking Dr Suite 110 Virginia Beach VA 23452-7349
Phone: (757) 340-8383
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pavilack, Mark Doctor of Medicine (MD)
Phone: (757) 340-8383

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0101232988 Virginia

Profile Details

NPI number 1568655389
LBN Legal business name Premier Ophthalmology, Plc
DBA Doing business as
Authorized official Pavilack, Mark Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2007
Last updated Aug 24th, 2007 - about 17 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 1568655389 NPPES
Virginia Other 437139 ANTHEM BCBS
Virginia Other 437140 ANTHEM BCBS

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