Provider Demographics
NPI:1710136965
Name:DOVIE EYE CARE, INC.
Entity Type:Organization
Organization Name:DOVIE EYE CARE, INC.
Other - Org Name:BLACKSBURG EYE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:DOVIE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:540-953-2020
Mailing Address - Street 1:PO BOX 29
Mailing Address - Street 2:
Mailing Address - City:BLACKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24063-0029
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1344 S MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:BLACKSBURG
Practice Address - State:VA
Practice Address - Zip Code:24060-5526
Practice Address - Country:US
Practice Address - Phone:540-953-2020
Practice Address - Fax:866-294-5349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-11
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618001471152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAV00618Medicare UPIN