Provider Demographics
NPI:1801984919
Name:DRS DOWNEY&VEITH OPTOMETRIST
Entity type:Organization
Organization Name:DRS DOWNEY&VEITH OPTOMETRIST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:G
Authorized Official - Last Name:VEITH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:540-298-1671
Mailing Address - Street 1:PO BOX 186
Mailing Address - Street 2:
Mailing Address - City:ELKTON
Mailing Address - State:VA
Mailing Address - Zip Code:22827-0186
Mailing Address - Country:US
Mailing Address - Phone:540-298-1671
Mailing Address - Fax:
Practice Address - Street 1:304 W SPOTSWOOD AVE
Practice Address - Street 2:
Practice Address - City:ELKTON
Practice Address - State:VA
Practice Address - Zip Code:22827-1100
Practice Address - Country:US
Practice Address - Phone:540-298-1671
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0601000241152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1902825409OtherNPI
VA9235655Medicaid
VA1467471961OtherNPI
VA9202374Medicaid
VAU10400Medicare UPIN
VA0246540002Medicare NSC
VA1467471961OtherNPI
VA9235655Medicaid