Provider Demographics
NPI:1174503544
Name:DROTER, JOSEPH E (OD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:E
Last Name:DROTER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10835 RIDGEFIELD PKWY
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23233-3501
Mailing Address - Country:US
Mailing Address - Phone:804-741-1204
Mailing Address - Fax:804-741-7071
Practice Address - Street 1:10835 RIDGEFIELD PKWY
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23233-3501
Practice Address - Country:US
Practice Address - Phone:804-741-1204
Practice Address - Fax:804-741-7071
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2013-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0601001492152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA9233300Medicaid
VA9233300Medicaid
VAU05597Medicare UPIN
VA1155710002Medicare NSC