Provider Demographics
NPI:1992727820
Name:VIRGINIA EYE CONSULTANTS INC
Entity type:Organization
Organization Name:VIRGINIA EYE CONSULTANTS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:GIRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:636-200-4393
Mailing Address - Street 1:241 CORPORATE BLVD
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502
Mailing Address - Country:US
Mailing Address - Phone:757-622-2200
Mailing Address - Fax:757-622-4866
Practice Address - Street 1:241 CORPORATE BLVD STE 210
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-4965
Practice Address - Country:US
Practice Address - Phone:757-622-2200
Practice Address - Fax:757-622-4866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-23
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00365900OtherRR MEDICARE
180042990OtherRR MEDICARE
P00233084OtherRR MEDICARE
VA180015712OtherRR MEDICARE
P00371255OtherRR MEDICARE
406183896OtherRR MEDICARE