Organization
DOUGLAS & VICTORIA M WEISS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTORIA MOLNAR WEISS OD (50 PARTNER OWNER)
(434) 591-0262
Entity
Organization
Contact information
Practice address
5B CENTRE CT, PALMYRA, VA 22963-2329
(434) 591-0262
(434) 591-0111
Mailing address
5B CENTRE CT, PALMYRA, VA 22963-2329
(434) 591-0262
(434) 591-0111
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618000628
VA
152W00000X
Optometrist
Primary
0618000665
VA
152WL0500X
Low Vision Rehabilitation Optometrist
0618000628
VA
152WV0400X
Vision Therapy Optometrist
0618000628
VA
152WV0400X
Vision Therapy Optometrist
0618000665
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146815
SOUTHERN HEALTH
VA
01
—
151998
SOUTHERN HEALTH
VA
01
—
219852
ANTHEM
VA
01
—
224432
ANTHEM
VA
05
—
9234292
—
VA
05
—
9234306
—
VA
Enumeration date
12/12/2006
Last updated
10/25/2014
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