Individual
DR. BEN ANDREW PILSKALNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
129 E FERRELL ST, SOUTH HILL, VA 23970-2101
(434) 447-3220
(434) 447-2309
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(866) 795-4020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001558
VA
152W00000X
Optometrist
5408T2319
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010257042
—
VA
05
—
010285691
—
VA
01
—
194019
ANTHEM BCBS SOH PROV #
VA
01
—
194021
ANTHEM BCBS EMP PROV #
VA
01
—
P00325745
RR MEDICARE INDIVIDUAL #
VA
Enumeration date
05/03/2006
Last updated
01/26/2018
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