Provider Demographics
NPI:1932299492
Name:JOHN A FOLEY, JR., M.D., P.C.
Entity Type:Organization
Organization Name:JOHN A FOLEY, JR., M.D., P.C.
Other - Org Name:EASTERN SHORE EYE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:FOLEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:757-442-3937
Mailing Address - Street 1:PO BOX 687
Mailing Address - Street 2:
Mailing Address - City:EXMORE
Mailing Address - State:VA
Mailing Address - Zip Code:23350-0687
Mailing Address - Country:US
Mailing Address - Phone:757-442-3937
Mailing Address - Fax:757-442-5008
Practice Address - Street 1:3297 BROAD ST.
Practice Address - Street 2:
Practice Address - City:EXMORE
Practice Address - State:VA
Practice Address - Zip Code:23350
Practice Address - Country:US
Practice Address - Phone:757-442-3937
Practice Address - Fax:757-442-5008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
C03103Medicare PIN
VA0460980001Medicare NSC