Organization
THE EYE SPECIALISTS LTD
Active
Organization
THE EYE SPECIALISTS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIETRICH ALBERT FELLNER M.D. (PRESIDENT)
(757) 490-9091
Entity
Organization
Contact information
Practice address
813 INDEPENDENCE BLVD, VIRGINIA BEACH, VA 23455-6004
(757) 490-9091
(757) 490-3250
Mailing address
813 INDEPENDENCE BLVD, VIRGINIA BEACH, VA 23455-6004
(757) 490-9091
(757) 490-3250
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618000757
VA
207W00000X
Ophthalmology Physician
Primary
0101232452
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010030013
—
VA
01
—
0761520001
DMERC CIGNA GOVERNMENT SERVICES
VA
01
—
110252
ANTHEM BLUE CROSS
VA
01
—
C30644
RAILROAD MEDICARE
VA
Enumeration date
09/28/2006
Last updated
05/20/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up