Organization · Type 2 NPI

Provision Eye Care, LLC

Optometrist · Glen Allen, VA

NPI number 1306379003 Active

Practice location

10212 Staples Mill Rd
Glen Allen, VA 23060-3064

Fax (804) 447-6885

Specialties and licenses

TaxonomyCodeLicense
Optometrist Primary 152W00000X0618001394 (VA)
Corneal and Contact Management Optometrist 152WC0802X0618001394 (VA)

Optometrist: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional e…

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About NPI 1306379003

Provision Eye Care, LLC's National Provider Identifier is 1306379003, issued on Apr 10, 2017. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Glen Allen, VA. The record was last updated on Sep 30, 2025.