Individual
DR. ROBERT EDWARD TITCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1020 INDEPENDENCE BLVD, SUITE 307, VIRGINIA BEACH, VA 23455-5500
(757) 460-3688
(757) 460-5516
Mailing address
1020 INDEPENDENCE BLVD, SUITE 307, VIRGINIA BEACH, VA 23455-5500
(757) 460-3688
(757) 460-5516
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000523
VA
152WL0500X
Low Vision Rehabilitation Optometrist
0618000523
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009204008
—
VA
05
—
009206361
—
VA
01
—
0457980002
MEDICARE DME
VA
01
—
061152
ANTHEM
VA
01
—
2923
DAVIS VISION
VA
01
—
541237743
USAA
VA
01
—
OPTIMA/SENTARA
300065
VA
Enumeration date
08/01/2006
Last updated
12/15/2010
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