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Contact Information

SUFFOLK EYE ASSOCIATES PC
2463 PRUDEN BLVD
SUFFOLK, VA23434
 Phone: 757-925-1136
 Fax: 757-925-0353
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for SUFFOLK EYE ASSOCIATES PC · (Female)

NPI # 1174657175
Status Active
Credentials
Entity Individual
Enumeration date 03/14/2007
Last updated 01/28/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • VA License # 0101054964
  • VA License # 0102036877
  • VA Medicaid 6301738
  • VA Medicaid 6307108
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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