Provider Demographics
NPI:1588710875
Name:JOYFUL EYECARE, P.C.
Entity type:Organization
Organization Name:JOYFUL EYECARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:FERRARA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:757-839-6073
Mailing Address - Street 1:658 S ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-3616
Mailing Address - Country:US
Mailing Address - Phone:757-839-6073
Mailing Address - Fax:757-321-3020
Practice Address - Street 1:701 LYNNHAVEN PKWY STE 1189
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-7228
Practice Address - Country:US
Practice Address - Phone:757-463-2136
Practice Address - Fax:757-463-8917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-27
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618001233152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010022070Medicaid
VA010022070Medicaid