Organization
VIRGINIA OCULOFACIAL SURGEONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIMITRIOS N SISMANIS MD (PHYSICIAN/OWNER)
(804) 934-9344
Entity
Organization
Contact information
Practice address
1300 WILKES RIDGE DR STE 100, RICHMOND, VA 23233-7963
(804) 934-9344
(804) 934-9034
Mailing address
1300 WILKES RIDGE DR STE 100, RICHMOND, VA 23233-7963
(804) 934-9344
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101046909
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006360092
VA PREMIER
VA
05
—
006360092
—
VA
01
—
143900
ANTHEM BLUECROSSBLUESHIEL
VA
01
—
180015571
RAILROAD MEDICARE
VA
01
—
20353
OPTIMA HEALTH SENTARA
VI
Enumeration date
01/02/2007
Last updated
08/19/2025
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