Organization
PREMIER OPHTHALMOLOGY, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK PAVILACK M.D. (OWNER)
(757) 340-8383
Entity
Organization
Contact information
Practice address
477 VIKING DR, SUITE 110, VIRGINIA BEACH, VA 23452-7349
(757) 340-8383
Mailing address
477 VIKING DR, SUITE 110, VIRGINIA BEACH, VA 23452-7349
(757) 340-8383
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101232988
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
437139
ANTHEM BCBS
VA
01
—
437140
ANTHEM BCBS
VA
Enumeration date
08/24/2007
Last updated
08/24/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us