Organization
PATTERSON EYE CLINIC OPTOMETRISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER G. NARDONE OD (PRESIDENT)
(804) 285-7638
Entity
Organization
Contact information
Practice address
5419 PATTERSON AVENUE, RICHMOND, VA 23226
(804) 285-7638
(804) 285-2107
Mailing address
5419 PATTERSON AVENUE, RICHMOND, VA 23226
(804) 285-7638
(804) 285-2107
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000050619
ANTHEM BCBS OF VA
VA
Enumeration date
09/26/2006
Last updated
07/07/2021
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