Organization
SOUTH HILL OPTOMETRY PLLC
Active
Other names
MyEyeDr
Organization subpart
No
Provider details
NPI number
Authorized official
SUE DOWNES (SECRETARY)
(703) 847-8899
Entity
Organization
Contact information
Practice address
129 E FERRELL ST, SOUTH HILL, VA 23970-2101
(434) 447-3220
(434) 447-2309
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010257042
—
VA
01
—
194019
ANTHEM BCBS
VA
01
—
DE9279
RR MEDICARE GROUP #
VA
01
—
P00325745
RAILROAD MEDICARE
VA
Enumeration date
05/04/2006
Last updated
05/02/2024
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