Provider Demographics
NPI:1225151889
Name:CAREY, ERIN JOY (OD)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:JOY
Last Name:CAREY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:ERIN
Other - Middle Name:JOY
Other - Last Name:BEACOM-CAREY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:501 BATTLEFIELD BLVD N
Mailing Address - Street 2:SUTIE B
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-4947
Mailing Address - Country:US
Mailing Address - Phone:757-966-2206
Mailing Address - Fax:757-966-2743
Practice Address - Street 1:501 BATTLEFIELD BLVD N
Practice Address - Street 2:SUTIE B
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-4947
Practice Address - Country:US
Practice Address - Phone:757-966-2206
Practice Address - Fax:757-966-2743
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2012-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618000962152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC08648Medicare PIN