Provider Demographics
NPI:1053345082
Name:EYE SURGERY LIMITED LLC
Entity type:Organization
Organization Name:EYE SURGERY LIMITED LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:G
Authorized Official - Middle Name:PEYTON
Authorized Official - Last Name:NEATROUR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:757-425-5550
Mailing Address - Street 1:1200 FIRST COLONIAL RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-2207
Mailing Address - Country:US
Mailing Address - Phone:757-395-4870
Mailing Address - Fax:757-321-0832
Practice Address - Street 1:1200 FIRST COLONIAL RD
Practice Address - Street 2:SUITE 104
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-2207
Practice Address - Country:US
Practice Address - Phone:757-395-4870
Practice Address - Fax:757-321-0832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical