Provider Demographics
NPI:1487218822
Name:GREENBRIER EYECARE LLC
Entity Type:Organization
Organization Name:GREENBRIER EYECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:RYBARCZYK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:757-286-6844
Mailing Address - Street 1:128 RUNAWAY BAY DR APT 110
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-8147
Mailing Address - Country:US
Mailing Address - Phone:757-286-6844
Mailing Address - Fax:
Practice Address - Street 1:1316 GREENBRIER PKWY
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-0605
Practice Address - Country:US
Practice Address - Phone:757-548-2102
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-30
Last Update Date:2019-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty