Provider Demographics
NPI:1609387802
Name:RICHMOND EYE CARE, PLLC
Entity Type:Organization
Organization Name:RICHMOND EYE CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:FOREST
Authorized Official - Last Name:SHOWS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:804-366-5871
Mailing Address - Street 1:1770 N PARHAM RD STE 101
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23229-4658
Mailing Address - Country:US
Mailing Address - Phone:804-366-5871
Mailing Address - Fax:
Practice Address - Street 1:1770 N PARHAM RD STE 101
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23229-4658
Practice Address - Country:US
Practice Address - Phone:804-366-5871
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-16
Last Update Date:2017-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618001166152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty