Provider Demographics
NPI:1164417077
Name:ADAMS, ERIC A (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:A
Last Name:ADAMS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:6315 N CENTER DR
Mailing Address - Street 2:BLDG 20 SUITE 230
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-4006
Mailing Address - Country:US
Mailing Address - Phone:757-461-7974
Mailing Address - Fax:757-461-4829
Practice Address - Street 1:6315 N CENTER DR
Practice Address - Street 2:BLDG 20 SUITE 230
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-4006
Practice Address - Country:US
Practice Address - Phone:757-461-7974
Practice Address - Fax:757-461-4829
Is Sole Proprietor?:No
Enumeration Date:2005-09-16
Last Update Date:2021-10-26
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Provider Licenses
StateLicense IDTaxonomies
VA0101052280207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006303315Medicaid
VA006303315Medicaid
VAG11624Medicare UPIN