Rodammer, Mark David

Rodammer, Mark David is an individual health care provider with primary practice located at 2514 Langhorne Rd , Lynchburg VA 24501-1602. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Rodammer, Mark David can be contacted via phone (434) 239-2800.

Contact Information

Primary practice address
2514 Langhorne Rd Lynchburg VA 24501-1602
Phone: (434) 239-2800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0618001308 Virginia

Profile Details

NPI number 1972561173
LBN Legal business name Rodammer, Mark David
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Aug 6th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972561173 NPPES
Virginia Other 189926 ANTHEM BCBS-WAYNESB PROV#
Virginia MEDICAID 009235612 ANTHEM BCBS-WAYNESB PROV#
Virginia MEDICAID 010257468 ANTHEM BCBS-WAYNESB PROV#

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