Provider Demographics
NPI:1053766683
Name:DR. CHRISTOPHER MCGARRY AND ASSOCIATES, OPTOMETRISTS, INC.
Entity type:Organization
Organization Name:DR. CHRISTOPHER MCGARRY AND ASSOCIATES, OPTOMETRISTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:MCGARRY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:804-270-2020
Mailing Address - Street 1:3114 N PARHAM RD
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23294-4407
Mailing Address - Country:US
Mailing Address - Phone:804-270-2020
Mailing Address - Fax:804-270-1044
Practice Address - Street 1:3114 N PARHAM RD
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23294-4407
Practice Address - Country:US
Practice Address - Phone:804-270-2020
Practice Address - Fax:804-270-1044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-02
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618000225152W00000X, 152WC0802X, 152WP0200X, 152WS0006X, 152WX0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Multi-Specialty
No152WP0200XEye and Vision Services ProvidersOptometristPediatricsGroup - Multi-Specialty
No152WS0006XEye and Vision Services ProvidersOptometristSports VisionGroup - Multi-Specialty
No152WX0102XEye and Vision Services ProvidersOptometristOccupational VisionGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1053766683OtherGROUP NPI
VA1477654135OtherNPPES
VA0618000225OtherVIRGINIA MEDICAL LICENSE
VA1477654135OtherNPPES