institution
Ira Lederman Md Pc
Ophthalmic Technician/Technologist in Norfolk, Virginia
NPI 1528117801

Ira Lederman Md Pc is a Ophthalmic Technician/Technologist based in Norfolk, VA and is specialized in Ophthalmic. Ira Lederman Md Pc practices in Norfolk, VA. The NPI Number for Ira Lederman Md Pc is 1528117801 and holds a License No. 0101016600 (Virginia).

The current practice location address for Ira Lederman Md Pc is 7312 Granby St, Norfolk, VA and can be reached out via phone at 757-583-5826 and via fax at 757-588-2712.

Location: 7312 Granby St, Norfolk, VA, 23505-3442
institution
Provider Profile Details
NPI Number
1528117801
Provider Name
Ira Lederman Md Pc
Credential
Provider Entity Type
Organization
Address
7312 Granby St, Norfolk, VA, 23505-3442
Phone Number
757-583-5826
Fax Number
757-588-2712
Provider Enumeration Date
01/09/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10003994 01 OPTIMA
11392646 01 CAQH
188089 01 VA BLUE CROSS PIN#
188089 01 BCBS
GROUP DE8392 01 RAILROAD MEDICARE
P00319350 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
7312 Granby St
City
State
Zip
23505-3442
Phone Number
757-583-5826
Fax Number
757-588-2712
person
Provider Business Mailing Address Details
Address
7312 Granby St
City
State
Zip
23505-3442
Phone Number
757-583-5826
Fax Number
757-588-2712
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Ophthalmic
Taxonomy
License No.
0101016600 (Virginia)
Definition
Definition to come...
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