Premier Ophthalmology, Plc
NPI #1568655389 in Virginia Beach, Virginia
Provider Information
- NPI Number
- 1568655389
- Entity Type
- Organization
- Organization Name
- Premier Ophthalmology, Plc
- Primary Specialty
- Ophthalmology
- Enumeration Date
- Aug 24, 2007
- Last Updated
- Aug 24, 2007
Practice Location
- Address
- 477 VIKING DR
- Address 2
- SUITE 110
- City
- Virginia Beach
- State
- Virginia
- ZIP Code
- 23452-7349
- Phone
- (757) 340-8383
Authorized Official
- Name
- MARK PAVILACK, M.D.
- Title
- OWNER
- Phone
- (757) 340-8383
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ophthalmology |
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