Chancellor Eye Care

LBN: Sarah P Brannon Od Pc
Chancellor Eye Care is an health care organization with primary practice located at 12100 Kennedy Ln Suite 206, Fredericksburg VA 22407-6760. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Sarah P Brannon Od Pc can be contacted via phone (540) 785-3937, or through Brannon, Sarah Pvlat via phone (540) 785-3937.

Contact Information

Primary practice address
12100 Kennedy Ln Suite 206 Fredericksburg VA 22407-6760
Fax: (540) 785-5498
Website:
Authorized official contact:
Name: Brannon, Sarah Pvlat Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0618000074 Virginia

Profile Details

NPI number 1669482600
LBN Legal business name Sarah P Brannon Od Pc
DBA Doing business as Chancellor Eye Care
Authorized official Brannon, Sarah Pvlat Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2006
Last updated May 12th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669482600 NPPES
Virginia Other 170333 AVESIS PROVIDER
Virginia Other 410048278 AVESIS PROVIDER
Virginia Other 5161390001 AVESIS PROVIDER
Virginia Other 902137 AVESIS PROVIDER
Virginia Other 4091903 AVESIS PROVIDER
Virginia Other 452927 AVESIS PROVIDER
Virginia Other 32467 AVESIS PROVIDER
Virginia MEDICAID 09235591 AVESIS PROVIDER
Virginia Other 2150133 AVESIS PROVIDER

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