Riverside Physician Services INC
Optometrist in Newport News, VA. Organization (NPI-2).
NPI number1962425884
StatusActive
Last updated in NPPESFeb 21, 2011
Details
- NPI
- 1962425884
- Entity type
- Organization (NPI-2)
- Legal business name
- Riverside Physician Services INC
- Organization subpart
- Yes
- Enumeration date
- Jul 25, 2006
- Last updated
- Feb 21, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Other names
- Hampton Roads Eye Associates (Doing Business As)
Practice location
4032 Campbell RdSuite B
Newport News, VA 23602-4252
Phone 757-877-3956 · Fax 757-856-7121
Mailing address
4032 Campbell RdSuite B
Newport News, VA 23602-4518
Phone 757-877-3956 · Fax 757-856-7121
Authorized official
James Lesnick
Vice President
7575944006
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