Provider Demographics
NPI:1871794206
Name:2020 EYECARE OF VIRGINIA, INC.
Entity type:Organization
Organization Name:2020 EYECARE OF VIRGINIA, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FORREST
Authorized Official - Middle Name:R
Authorized Official - Last Name:SCHAEFFER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:757-827-1223
Mailing Address - Street 1:2300 N SALISBURY BLVD
Mailing Address - Street 2:#J137
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-7810
Mailing Address - Country:US
Mailing Address - Phone:410-860-2020
Mailing Address - Fax:410-860-5246
Practice Address - Street 1:2300 N SALISBURY BLVD
Practice Address - Street 2:#J137
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-7810
Practice Address - Country:US
Practice Address - Phone:410-860-2020
Practice Address - Fax:410-860-5246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty