Mid Atlantic Optical LLC

NPI #1235594524 in Norfolk, Virginia

Provider Information

NPI Number: 1235594524
Entity Type: Organization
Organization Name: Mid Atlantic Optical LLC
Primary Specialty: Optometrist
Enumeration Date: Dec 31, 2015
Last Updated: Dec 31, 2015

Practice Location

Address: 6161 KEMPSVILLE CIR
Address 2: STE. 130
City: Norfolk
State: Virginia
ZIP Code: 23502-3932
Phone: (757) 455-5130

Authorized Official

Name: ROSE WALLER
Title: PRACTICE MANAGER
Phone: (757) 547-9830

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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