Organization
RETINA INSTITUTE OF VIRGINIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON LEIGH VEDITZ (ADMINISTRATOR)
(804) 644-7478
Entity
Organization
Contact information
Practice address
8720 STONY POINT PKWY STE 105, RICHMOND, VA 23235-1989
(804) 644-7478
(804) 644-8224
Mailing address
8720 STONY POINT PKWY STE 105, RICHMOND, VA 23235-1989
(804) 644-7478
(804) 644-8224
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06643
PTAN
VA
Enumeration date
04/05/2006
Last updated
01/08/2020
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