Organization Name: | VERDI EYE SPECIALIST |
NPI Number: | 1750406971 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LEE PIERCE (OPTICIAN) |
Mailing Address: | 7312 Granby St Norfolk |
State: | VA US |
Postal Code: | 235053442 |
Phone Number: | 7575835826 |
Fax Number: | 7575882712 |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156F00000X |
License Number: | 0101234127 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A broad category grouping different kinds of technologists and technicians. See individual definitions. |