Provider Demographics
NPI:1255304556
Name:EYE PHYSICIANS AND SURGEONS OF MARTINSVILLE INC
Entity Type:Organization
Organization Name:EYE PHYSICIANS AND SURGEONS OF MARTINSVILLE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:RICHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:276-632-7205
Mailing Address - Street 1:PO BOX 3151
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24115-3151
Mailing Address - Country:US
Mailing Address - Phone:276-632-7205
Mailing Address - Fax:276-632-6366
Practice Address - Street 1:749 E CHURCH ST
Practice Address - Street 2:SUITE A
Practice Address - City:MARTINSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24112-3106
Practice Address - Country:US
Practice Address - Phone:276-632-7205
Practice Address - Fax:276-632-6366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty