Edgewater Eyecare LLC

NPI #1033470935 in Hampton, Virginia

Provider Information

NPI Number: 1033470935
Entity Type: Organization
Organization Name: Edgewater Eyecare LLC
Primary Specialty: Optometrist
Enumeration Date: Jun 6, 2012
Last Updated: Sep 19, 2012

Practice Location

Address: 4700 KILGORE AVE
City: Hampton
State: Virginia
ZIP Code: 23666-2057
Phone: (757) 825-1849

Authorized Official

Name: DR. RICHARD ANDREW NICHOLAS, O.D.
Title: OPTOMETRIST
Phone: (757) 513-5408

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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