Individual
DR. JEFFREY CARTER MICHAELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4114 INNSLAKE DR, GLEN ALLEN, VA 23060-3344
(804) 217-9883
(804) 217-9065
Mailing address
4114 INNSLAKE DR, GLEN ALLEN, VA 23060-3344
(804) 217-9883
(804) 217-9065
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0601800085
VA
152W00000X
Optometrist
Primary
0620000002
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
182026
ANTHEM REE
VA
01
—
2634406
AETNA HMO
VA
01
—
269403
ANTHEM RH ROBINSON
VA
01
—
273089
MAMSI GENERAL OPTOMETRY
VA
01
—
473089
MAMSI SPECIALIST NUMBER
VA
01
—
7360063
AETNA NON HMO
VA
05
—
92-3481-1
—
VA
Enumeration date
09/08/2005
Last updated
07/10/2025
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