Organization
ROBERT E TITCOMB OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT EDWARD TITCOMB OD (OPTOMETRIST)
(757) 460-3688
Entity
Organization
Contact information
Practice address
1020 INDEPENDENCE BLVD, SUITE 307, HAYGOOD MEDICAL CENTER, VIRGINIA BEACH, VA 23455-5543
(757) 460-3688
(757) 460-5516
Mailing address
1020 INDEPENDENCE BLVD, SUITE 307, HAYGOOD MEDICAL CENTER, VIRGINIA BEACH, VA 23455-5543
(757) 460-3688
(757) 460-5516
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
06180000523
VA
152WL0500X
Low Vision Rehabilitation Optometrist
0618000523
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009204008
—
VA
01
—
061152
ANTHEM
VA
01
—
07124
SPECTERA
VA
01
—
111661
EYEMED
VA
01
—
2923
DAVIS VISION
VA
01
—
300065
SENTARA
VA
01
—
352348626
VISION SERVICE PLAN
VA
Enumeration date
11/14/2006
Last updated
12/17/2010
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