Provider Demographics
NPI:1922311760
Name:LYNCHBURG VISION ASSOCIATES PC
Entity Type:Organization
Organization Name:LYNCHBURG VISION ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOPRA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:434-832-1352
Mailing Address - Street 1:112 LAMBETH CT
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24503-2145
Mailing Address - Country:US
Mailing Address - Phone:434-426-0216
Mailing Address - Fax:434-832-1353
Practice Address - Street 1:3900 WARDS RD
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-2942
Practice Address - Country:US
Practice Address - Phone:434-832-1352
Practice Address - Fax:434-832-1353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-22
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618001865152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA410001246OtherMEDICARE
VA49827OtherDAVIS VISION
VALV13377OtherSPECTERA
VAVA0086OtherEYEMED
VA49827OtherDAVIS VISION