Provider Demographics
NPI:1649365818
Name:MEDICAL & SURGICAL EYE SPECIALISTS INC
Entity type:Organization
Organization Name:MEDICAL & SURGICAL EYE SPECIALISTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:A
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:757-461-7974
Mailing Address - Street 1:6315 NORTH CENTER DR BLDG 20
Mailing Address - Street 2:SUITE 230
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-3931
Mailing Address - Country:US
Mailing Address - Phone:757-461-7974
Mailing Address - Fax:757-461-4829
Practice Address - Street 1:6315 NORTH CENTER DR BLDG 20
Practice Address - Street 2:SUITE 230
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-3931
Practice Address - Country:US
Practice Address - Phone:757-461-7974
Practice Address - Fax:757-461-4829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0223330002Medicare NSC
VAC01526Medicare PIN