Weatherholt, Otis Victor
Weatherholt, Otis Victor is an sole proprietor health care provider with primary practice located at 1912 Graves Mill Rd , Lynchburg VA 24502-4237. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Weatherholt, Otis Victor can be contacted via phone (434) 385-7898.Contact Information
Primary practice address
1912 Graves Mill Rd
Lynchburg VA 24502-4237
Phone: (434) 385-7898
Fax: (434) 385-1421
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0618000350 | Virginia |
Profile Details
| NPI number | 1720009723 |
|---|---|
| LBN Legal business name | Weatherholt, Otis Victor |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2006 |
| Last updated | Oct 28th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720009723 | NPPES |
| Virginia | MEDICAID | 009200703 |
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