Provider Demographics
NPI:1508033663
Name:DR. MARLENE A. LABELL, O.D. P.C.
Entity Type:Organization
Organization Name:DR. MARLENE A. LABELL, O.D. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARLENE
Authorized Official - Middle Name:A
Authorized Official - Last Name:LABELL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:757-312-0831
Mailing Address - Street 1:1668 ALLMAN CT
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-6635
Mailing Address - Country:US
Mailing Address - Phone:757-724-4340
Mailing Address - Fax:
Practice Address - Street 1:109 VOLVO PKWY
Practice Address - Street 2:SUITE 9
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-4609
Practice Address - Country:US
Practice Address - Phone:757-312-0831
Practice Address - Fax:757-410-0855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-08
Last Update Date:2009-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618001455152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC10634Medicare PIN