Individual
DR. VIJAYATA DHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4114 INNSLAKE DR, GLEN ALLEN, VA 23060-3344
(804) 217-9883
(804) 217-9065
Mailing address
4114 INNSLAKE DR, GLEN ALLEN, VA 23060-3344
(804) 217-9883
(804) 217-9065
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002251
VA
152W00000X
Optometrist
Primary
0620000100
VA
Other
Enumeration date
06/26/2013
Last updated
04/07/2026
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