Provider Demographics
NPI:1326397720
Name:COMMONWEALTH FAMILY EYE CARE, PLC
Entity type:Organization
Organization Name:COMMONWEALTH FAMILY EYE CARE, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BI
Authorized Official - Middle Name:Y
Authorized Official - Last Name:LI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:757-565-2020
Mailing Address - Street 1:800 E ROCHAMBEAU DR STE F276
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188-9006
Mailing Address - Country:US
Mailing Address - Phone:757-549-2020
Mailing Address - Fax:757-548-0088
Practice Address - Street 1:1501 SAMS CIR
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-4694
Practice Address - Country:US
Practice Address - Phone:757-549-2020
Practice Address - Fax:757-548-0088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-31
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618001616152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty