Mercer, Mary Alison

Mercer, Mary Alison is an individual health care provider with primary practice located at 3235 Academy Ave Suite 200, Portsmouth VA 23703-3200. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Mercer, Mary Alison can be contacted via phone (757) 483-0400.

Contact Information

Primary practice address
3235 Academy Ave Suite 200 Portsmouth VA 23703-3200
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0618001325 Virginia

Profile Details

NPI number 1093725830
LBN Legal business name Mercer, Mary Alison
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated May 19th, 2021 - about 5 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 1093725830 NPPES
Virginia Other 180066 ANTHEM
Virginia MEDICAID 10170664 ANTHEM

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