Individual
PETER V MITREV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1503 N ROAD ST, ELIZABETH CITY, NC 27909-3243
(252) 335-5446
(252) 335-4153
Mailing address
1503 N ROAD ST, ELIZABETH CITY, NC 27909-3243
(252) 335-5446
(757) 461-8238
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101222101
VA
207W00000X
Ophthalmology Physician
0101222101
VA
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
0101222101
VA
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
2005-01046
NC
Other
Enumeration date
05/18/2006
Last updated
10/21/2020
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