Provider Demographics
NPI:1962575373
Name:ISNER, VERNON SCOTT (OD)
Entity type:Individual
Prefix:DR
First Name:VERNON
Middle Name:SCOTT
Last Name:ISNER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10904 WARREN RD
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-2018
Mailing Address - Country:US
Mailing Address - Phone:804-755-7823
Mailing Address - Fax:804-261-0746
Practice Address - Street 1:7901 BROOK RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23227-1336
Practice Address - Country:US
Practice Address - Phone:804-261-0777
Practice Address - Fax:804-261-0746
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618000955152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist