Provider Demographics
NPI:1942361225
Name:HOLLAND, VIRGIL DON JR (OD)
Entity Type:Individual
Prefix:DR
First Name:VIRGIL
Middle Name:DON
Last Name:HOLLAND
Suffix:JR
Gender:M
Credentials:OD
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Mailing Address - Street 1:14210 CULVER DR
Mailing Address - Street 2:SUITE F
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-0328
Mailing Address - Country:US
Mailing Address - Phone:949-857-1060
Mailing Address - Fax:949-857-2100
Practice Address - Street 1:14210 CULVER DR
Practice Address - Street 2:SUITE F
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-0328
Practice Address - Country:US
Practice Address - Phone:949-857-1060
Practice Address - Fax:949-857-2100
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2010-05-19
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Provider Licenses
StateLicense IDTaxonomies
CA10333T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist