W. Berry Maultsby, Jr., O.D., P.C.

LBN: W. Berry Maultsby, Jr., O.D., P.C.
W. Berry Maultsby, Jr., O.D., P.C. is an health care organization with primary practice located at 413 Mt. Cross Road Suite 203, Danville VA 24540. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. W. Berry Maultsby, Jr., O.D., P.C. can be contacted via phone (434) 791-3937, or through Maultsby, Wallace Berry via phone (434) 791-3937.

Contact Information

Primary practice address
413 Mt. Cross Road Suite 203 Danville VA 24540
Phone: (434) 791-3937
Fax: (434) 791-2468
Website:
Map and Directions
Authorized official contact:
Name: Maultsby, Wallace Berry Doctor of Optometry (OD)
Phone: (434) 791-3937

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0618000688 Virginia

Profile Details

NPI number 1134354897
LBN Legal business name W. Berry Maultsby, Jr., O.D., P.C.
DBA Doing business as
Authorized official Maultsby, Wallace Berry Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2009
Last updated Jun 2nd, 2009 - about 17 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 1134354897 NPPES
Other 465270 ANTHEM
MEDICAID 010337861 ANTHEM

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