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Organization
MANDELL RETINA CENTER PC
Active
Organization
MANDELL RETINA CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE M BASL (ADMIN)
(757) 227-4300
Entity
Organization
Contact information
Practice address
397 LITTLE NECK RD, 3300 SOUTH BUILDING SUITE 202, VIRGINIA BEACH, VA 23452-5765
(757) 227-4300
(757) 486-3125
Mailing address
397 LITTLE NECK RD, 3300 SOUTH BUILDING SUITE 202, VIRGINIA BEACH, VA 23452-5765
(757) 227-4300
(757) 486-3125
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
NULL
207W00000X
Ophthalmology Physician
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
NULL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Enumeration date
03/13/2007
Last updated
09/30/2025
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