Organization
EYE CARE CENTER OF VIRGINIA PC
Active
Other names
GARTH STEVENS JR MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARTH STEVENS JR. MD (PRESIDENT)
(804) 330-9303
Entity
Organization
Contact information
Practice address
2924 EMERYWOOD PKWY STE 103, HENRICO, VA 23294-3746
(804) 330-9303
(804) 330-9302
Mailing address
2924 EMERYWOOD PKWY STE 103, HENRICO, VA 23294-3746
(804) 330-9303
(804) 330-9302
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101041201
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006308287
—
VA
01
—
DA5002
RAILROAD MEDICARE
VA
Enumeration date
10/22/2007
Last updated
08/18/2021
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