VICTORIA MARIE GRAZIANO


Address: 277 N Lynnhaven Rd, Suite 108, Virginia Beach, VA 23452-6963
Phone: 7574635844

VICTORIA MARIE GRAZIANO (NPI# 1417130055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417130055
Entity Type Organization
Organization Name VICTORIA MARIE GRAZIANO
Other Organization Name VICKIS MASTECTOMY BOUTIQUE
Practice Address 277 N Lynnhaven Rd
Suite 108
Virginia Beach
VA 23452-6963
Practice Telephone 7574635844
Practice Fax Number 7574639349
Mailing Telephone 7574635844
Mailing Fax Number 7574639349
Enumeration Date 2007-12-05
Last Update Date 2013-08-05
Authorized Official Name MRS. VICTORIA MARIE GRAZIANO (OWNER)
Authorized Official Telephone 7574635844
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335E00000X Prosthetic/Orthotic Supplier Suppliers

Other Provider/Organization Names

Other Name Type Code
VICKIS MASTECTOMY BOUTIQUE Other Name - Individual/Organization

Office Location

Street Address 277 N LYNNHAVEN RD
SUITE 108
City VIRGINIA BEACH
State VA
Zip Code 23452-6963

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1205483229 Brenna Dober Behavior Technician 380 Clevend Place, Virginia Beach, VA 23452 2019-08-23
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1992205165 Jeremy Monsanto Behavior Technician 629 Phoenix Drive, Ste 150, Virginia Beach, VA 23452 2018-02-14
1174056014 Samantha Brown Behavior Technician 780 Nnhaven Parkway, Suite 400, Virginia Beach, VA 23452 2017-04-07
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Taxonomy Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598313298 Reach Orthotic & Prosthetic Service, Inc. Prosthetic/Orthotic Supplier 397 Little Neck Rd, Building 3400, Suite 107, Virginia Beach, VA 23452 2019-08-27
1437605003 Coastal Prosthetics and Orthotics,llc Prosthetic/Orthotic Supplier 1924 Landstown Centre Way Ste 109, Box # 13 for Mail, Virginia Beach, VA 23456-1624 2016-09-01
1902176563 Coastline Medical, Inc. Prosthetic/Orthotic Supplier 509 Viking Dr Ste E, Virginia Beach, VA 23452-7323 2012-01-12
1215260062 Rehab Specialists, Inc. Prosthetic/Orthotic Supplier 2005 Harvest Moon Ct., Virginia Beach, VA 23453-6675 2009-09-11
1457551236 Branne LLC Prosthetic/Orthotic Supplier 5262 Fairfield Shopping Ctr, Virginia Beach, VA 23464-4212 2007-07-20
1326069477 Healthy Feet Inc Prosthetic/Orthotic Supplier 3500 Virginia Beach Blvd Ste 100, Virginia Beach, VA 23452-4445 2006-07-22
1508821117 Montagnas Shoes Inc Prosthetic/Orthotic Supplier 752 Independence Blvd, Montagnas Shoes, Virginia Beach, VA 23455 2006-04-18
1124006713 Progressive Prosthetic & Orthopedic Services, Inc. Prosthetic/Orthotic Supplier 380 Cleveland Pl, Virginia Beach, VA 23462-6529 2006-01-04
1386270643 Coastal Prosthetics and Orthotics, LLC Prosthetic/Orthotic Supplier 1008 First Colonial Rd, Virginia Beach, VA 23454-3071 2020-03-19
1447523261 Mid-atlantic Bracing, Inc. Prosthetic/Orthotic Supplier 4445 Corporation Ln, Virginia Beach, VA 23462-3262 2012-02-10
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Competitor

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City VIRGINIA BEACH
Zip Code 23452

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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