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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

NPI Number 1174657175
LBN Legal business name SUFFOLK EYE ASSOCIATES PC
Authorized official GARY SAJKO - (PRESDIENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/14/2007
Last updated 01/28/2008 - About 18 years ago
Identifiers
VA License # 0101054964
VA License # 0102036877
VA Medicaid 6301738
VA Medicaid 6307108
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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