Provider Demographics
NPI:1568846442
Name:ESSENTIAL EYE CARE PLLC
Entity Type:Organization
Organization Name:ESSENTIAL EYE CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHLATER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:757-334-2104
Mailing Address - Street 1:3953 ROEBLING LN
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-1865
Mailing Address - Country:US
Mailing Address - Phone:757-334-2104
Mailing Address - Fax:
Practice Address - Street 1:850 GLENROCK RD
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-3702
Practice Address - Country:US
Practice Address - Phone:757-461-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-10
Last Update Date:2015-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618001115152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty