NPI 1982911723 · live from the CMS NPI Registry
Patrick Joseph Burbano De Lara, M.D.
Ophthalmology in Portsmouth, VA. National Provider Identifier 1982911723, active.
NPI record
| NPI | 1982911723 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 620 John Paul Jones Cir, Portsmouth, VA 23708 |
| Practice phone | 757-953-1894 |
| Enumerated | August 31, 2010 |
| Last updated | January 19, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology | 207W00000X | MD477446 (PA) |
| Preventive Medicine, Aerospace Medicine | 2083A0100X | 0101250905 (VA) |
| General Practice | 208D00000X | 0101250905 (VA) |
| Ophthalmology primary | 207W00000X | 0101250905 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.