Provider Demographics
NPI:1265194245
Name:AZOCAR, SEBASTHIAN THOMAS (OD)
Entity type:Individual
Prefix:
First Name:SEBASTHIAN
Middle Name:THOMAS
Last Name:AZOCAR
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:SEBASTIAN
Other - Middle Name:THOMAS
Other - Last Name:AZOCAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:9509 AMBERDALE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23236-1256
Mailing Address - Country:US
Mailing Address - Phone:804-531-5700
Mailing Address - Fax:804-249-7347
Practice Address - Street 1:9509 AMBERDALE DR
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23236-1256
Practice Address - Country:US
Practice Address - Phone:804-531-5700
Practice Address - Fax:804-249-7347
Is Sole Proprietor?:No
Enumeration Date:2021-10-07
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618003079152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist