Fernandez, Mark Michael

Fernandez, Mark Michael is an sole proprietor health care provider with primary practice located at 885 Kempsville Road, Suite 101 Virginia Ophthalmology Associates, Pc, Norfolk VA 23502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Fernandez, Mark Michael can be contacted via phone (757) 461-1444.

Contact Information

Primary practice address
885 Kempsville Road, Suite 101 Virginia Ophthalmology Associates, Pc Norfolk VA 23502
Phone: (757) 461-1444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 141993 North Carolina
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0101251330 Virginia

Profile Details

NPI number 1881860013
LBN Legal business name Fernandez, Mark Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2008
Last updated Mar 22nd, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881860013 NPPES
Virginia Other 0101251330 VIRGINIA MEDICAL LICENSE
Virginia Other 141993 VIRGINIA MEDICAL LICENSE
Virginia MEDICAID 1881860013 VIRGINIA MEDICAL LICENSE

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