| Name | Value |
|---|---|
| PROVIDER TYPE | Eye and Vision Services Providers |
| CLASSIFICATION | Optometrist |
| DEFINITION | Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |
| AREA OF SPECIALIZATION | Pediatrics |
| STATUS | Active |
| VA CODE | V060804 |
| X12 CODE | 152WP0200X |
| SPECIALTY CODE | 41 |
| INDIVIDUAL/NON | INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5252606 |
| EFFECTIVE DATE/TIME |
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