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Organization

MANDELL RETINA CENTER PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEANETTE M BASL (ADMIN)
(757) 227-4300
Entity
Organization

Contact information

Practice address
397 LITTLE NECK RD, 3300 SOUTH BUILDING SUITE 202, VIRGINIA BEACH, VA 23452-5765
(757) 227-4300
(757) 486-3125
Mailing address
397 LITTLE NECK RD, 3300 SOUTH BUILDING SUITE 202, VIRGINIA BEACH, VA 23452-5765
(757) 227-4300
(757) 486-3125

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C10134
MEDICARE
VA
Enumeration date
03/13/2007
Last updated
09/30/2025
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