Wal-Dav Incorporated

NPI #1962540534 in Hampton, Virginia

Provider Information

NPI Number: 1962540534
Entity Type: Organization
Organization Name: Wal-Dav Incorporated
Primary Specialty: Optometrist
Enumeration Date: Feb 3, 2007
Last Updated: Dec 15, 2011

Practice Location

Address: 1134 BIG BETHEL RD
City: Hampton
State: Virginia
ZIP Code: 23666-1906
Phone: (757) 827-6612

Authorized Official

Name: DR. LISA G WALLACE-DAVIS, OD
Title: OWNER
Phone: (757) 827-6612

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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