Provider Demographics
NPI:1932544129
Name:VIRGINIA VISIONCARE, PLLC
Entity Type:Organization
Organization Name:VIRGINIA VISIONCARE, PLLC
Other - Org Name:RIVER'S BEND EYECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:INDERPREET
Authorized Official - Middle Name:K
Authorized Official - Last Name:DATTA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:508-837-3790
Mailing Address - Street 1:16025 DRUMONE RD
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-5533
Mailing Address - Country:US
Mailing Address - Phone:804-530-3937
Mailing Address - Fax:804-530-3934
Practice Address - Street 1:204 JOHNSON CREEK DR
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23836-2840
Practice Address - Country:US
Practice Address - Phone:804-530-3937
Practice Address - Fax:804-530-3934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-02
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618001963152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty