Organization
OLD DOMINION EYE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD H WEILER MD (OWNER PHYSICIAN)
(804) 435-0547
Entity
Organization
Contact information
Practice address
101 TECHNOLOGY PARK DRIVE, KILMARNOCK, VA 22482
(804) 435-0547
(804) 435-2712
Mailing address
101 TECHNOLOGY PARK DRIVE, KILMARNOCK, VA 22482
(804) 435-0547
(804) 435-2712
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C15121
RAILROAD MEDICARE
VA
Enumeration date
11/21/2006
Last updated
11/01/2023
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