Provider Demographics
NPI:1366754350
Name:OPHTHALMOLOGY ASSOCIATES PLLC
Entity type:Organization
Organization Name:OPHTHALMOLOGY ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAUDE
Authorized Official - Middle Name:DONALD
Authorized Official - Last Name:BELGRAVE
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:757-650-5965
Mailing Address - Street 1:1200 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-4321
Mailing Address - Country:US
Mailing Address - Phone:757-630-4704
Mailing Address - Fax:757-516-6465
Practice Address - Street 1:1500 ARMORY DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:VA
Practice Address - Zip Code:23851
Practice Address - Country:US
Practice Address - Phone:757-516-6446
Practice Address - Fax:757-516-6465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-08
Last Update Date:2018-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101053495207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty