Provider Demographics
NPI:1114498524
Name:LI FAMILY EYE CARE PLC
Entity Type:Organization
Organization Name:LI FAMILY EYE CARE PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BI
Authorized Official - Middle Name:LI
Authorized Official - Last Name:JELLENEK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:757-565-2020
Mailing Address - Street 1:800 E ROCHAMBEAU DR STE F276
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188-9006
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:731 E ROCHAMBEAU DR
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188-2187
Practice Address - Country:US
Practice Address - Phone:757-565-2020
Practice Address - Fax:757-259-2015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-10
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty