Provider Demographics
NPI:1275809980
Name:EYE CARE OF VIRGINIA, P.C.
Entity Type:Organization
Organization Name:EYE CARE OF VIRGINIA, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MILES
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:PRESS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:540-841-3937
Mailing Address - Street 1:7314 BEECHPLUM RD
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-7444
Mailing Address - Country:US
Mailing Address - Phone:540-841-3937
Mailing Address - Fax:
Practice Address - Street 1:801 JAMES MADISON HWY
Practice Address - Street 2:
Practice Address - City:CULPEPER
Practice Address - State:VA
Practice Address - Zip Code:22701-2405
Practice Address - Country:US
Practice Address - Phone:540-825-3937
Practice Address - Fax:540-825-3939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-27
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0601000688152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAA910Medicare PIN