Provider Demographics
NPI:1477654135
Name:MCGARRY, CHRISTOPHER ROBERT (OD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:ROBERT
Last Name:MCGARRY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3114 N PARHAM RD
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23294-4407
Mailing Address - Country:US
Mailing Address - Phone:804-270-2020
Mailing Address - Fax:804-270-1044
Practice Address - Street 1:3114 N PARHAM RD STE 104
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23294-4407
Practice Address - Country:US
Practice Address - Phone:804-270-2020
Practice Address - Fax:804-270-1044
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618000225152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA9234713Medicaid
VA9234713Medicaid