Provider Demographics
NPI:1790914463
Name:KRISTINA L. RAMSEY, O.D., P.C.
Entity Type:Organization
Organization Name:KRISTINA L. RAMSEY, O.D., P.C.
Other - Org Name:HARBOR FAMILY EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER-OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTINA
Authorized Official - Middle Name:LYNETTE
Authorized Official - Last Name:RAMSEY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:757-393-2797
Mailing Address - Street 1:PO BOX 6313
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23703-0313
Mailing Address - Country:US
Mailing Address - Phone:757-393-2797
Mailing Address - Fax:757-277-0108
Practice Address - Street 1:1098 FREDERICK BLVD
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23707-4119
Practice Address - Country:US
Practice Address - Phone:757-393-2797
Practice Address - Fax:757-277-0108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-02
Last Update Date:2013-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618001673152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty