Provider Demographics
NPI:1568428530
Name:ORELLANA, JUAN J (MD)
Entity Type:Individual
Prefix:DR
First Name:JUAN
Middle Name:J
Last Name:ORELLANA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 91734
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23291-1734
Mailing Address - Country:US
Mailing Address - Phone:804-358-6100
Mailing Address - Fax:804-342-7619
Practice Address - Street 1:1250 E MARSHALL STREET
Practice Address - Street 2:OPTHALMOLOGY
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-0510
Practice Address - Country:US
Practice Address - Phone:804-828-9315
Practice Address - Fax:804-828-6543
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC9801734207W00000X
VA0101246434207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89130YAMedicaid
NC1189VOtherBCBS
NC20529OtherOPTICARE HMO
NC456193OtherAETNA HMO
NCB3370OtherMEDCOST
NC0498201OtherGHI
NC0854928OtherUNITED HEALTHCARE
NCFH2001365OtherFIRST CAROLINA CARE
NC4204215OtherAETNA
NC466147OtherMAMSI
NC466147OtherMAMSI
NC4204215OtherAETNA
NCB3370OtherMEDCOST
NC456193OtherAETNA HMO