Organization
HAMPTON ROADS RETINA CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON M ADLEBERG M.D. (PRESIDENT)
(757) 436-0011
Entity
Organization
Contact information
Practice address
516 INNOVATION DR, SUITE 101, CHESAPEAKE, VA 23320-3866
(757) 436-0011
(757) 436-0075
Mailing address
516 INNOVATION DR, SUITE 101, CHESAPEAKE, VA 23320-3866
(757) 436-0011
(757) 436-0075
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101056722
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005088230
AETNA
VA
05
—
006309895
—
VA
01
—
2248749C
CIGNA MEDICARE
NC
01
—
461049
ANTHEM BCBS
VA
01
—
56198
OPTIMA/SENTARA
VA
Enumeration date
08/31/2006
Last updated
06/15/2010
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