Organization
ROBERT E TITCOMB OFFICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT EDWARD TITCOMB OD (OPTOMETRIST OWNER)
(757) 331-2020
Entity
Organization
Contact information
Practice address
217 MASON AVE, CAPE CHARLES, VA 23310-3201
(757) 331-2020
(757) 331-4077
Mailing address
217 MASON AVE, CAPE CHARLES, VA 23310-3201
(757) 331-2020
(757) 331-4077
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000523
VA
152WC0802X
Corneal and Contact Management Optometrist
0618000523
VA
152WL0500X
Low Vision Rehabilitation Optometrist
0618000523
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009206361
—
VA
01
—
117672
EYEMED COLE VISION
VA
01
—
212922ML2
MAMSI
VA
01
—
2923
DAVIS
VA
01
—
P00124443
RAILROAD MEDICARE
VA
Enumeration date
11/24/2006
Last updated
04/20/2008
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