# MANDELL RETINA CENTER PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861525305
- **Authorized official:** JEANETTE M BASL (ADMIN)
- **Authorized official phone:** (757) 227-4300

## Contact information

- **Practice address:** 397 LITTLE NECK RD, 3300 SOUTH BUILDING SUITE 202, VIRGINIA BEACH, VA 23452-5765
- **Practice address phone:** (757) 227-4300
- **Practice address fax:** (757) 486-3125
- **Mailing address:** 397 LITTLE NECK RD, 3300 SOUTH BUILDING SUITE 202, VIRGINIA BEACH, VA 23452-5765
- **Mailing address phone:** (757) 227-4300
- **Mailing address fax:** (757) 486-3125

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | — |
| 207W00000X | Ophthalmology Physician | — | — | — |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | NULL | Yes |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/13/2007
- **Last updated:** 09/30/2025