Provider Demographics
NPI:1184940587
Name:DR. AADITYA AJMANI AND ASSOCIATES, P.C.
Entity type:Organization
Organization Name:DR. AADITYA AJMANI AND ASSOCIATES, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AADITYA
Authorized Official - Middle Name:
Authorized Official - Last Name:AJMANI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:757-427-2054
Mailing Address - Street 1:PO BOX 11497
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23517-0497
Mailing Address - Country:US
Mailing Address - Phone:757-427-2054
Mailing Address - Fax:757-427-2055
Practice Address - Street 1:1149 NIMMO PKWY
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-7730
Practice Address - Country:US
Practice Address - Phone:757-427-2054
Practice Address - Fax:757-427-2055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-12
Last Update Date:2010-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA061801355152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty