Provider Demographics
NPI:1215460969
Name:PASCHAL, CHRISTINE C (OD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:C
Last Name:PASCHAL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:CHRISTINE
Other - Middle Name:M
Other - Last Name:CRAIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:10835 RIDGEFIELD PKWY
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23233-3501
Mailing Address - Country:US
Mailing Address - Phone:804-741-1204
Mailing Address - Fax:804-741-7071
Practice Address - Street 1:10835 RIDGEFIELD PKWY
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23233-3501
Practice Address - Country:US
Practice Address - Phone:804-741-1204
Practice Address - Fax:804-741-7071
Is Sole Proprietor?:No
Enumeration Date:2017-04-10
Last Update Date:2019-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
VA0618002570152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program