Provider Demographics
NPI:1780190900
Name:ALEXANDER, ROSALIND BOND (LICENSED OPTICIAN)
Entity Type:Individual
Prefix:MRS
First Name:ROSALIND
Middle Name:BOND
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:LICENSED OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 BATTLEFIELD BLVD N STE 109
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-4878
Mailing Address - Country:US
Mailing Address - Phone:757-277-9131
Mailing Address - Fax:757-389-5670
Practice Address - Street 1:805 BATTLEFIELD BLVD N STE 109
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-4878
Practice Address - Country:US
Practice Address - Phone:757-277-9131
Practice Address - Fax:757-389-5670
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-26
Last Update Date:2017-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1101002041156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty