NPI 1235594524

Mid Atlantic Optical LLC

Organisation Optometrist Norfolk, VA

Practice location

Address: 6161 Kempsville Cir STE. 130, Norfolk, VA 23502-3932
Phone: (757) 455-5130
Fax: (757) 466-7616
Mailing address: 109 Wimbledon Sq Ste.E, Chesapeake, VA 23320-4945

Authorised official

Name: Rose Waller
Title: Practice Manager
Phone: (757) 547-9830

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 0618001314 (VA)

Other Optometrist providers in Virginia →

Registry record

NPI: 1235594524
Entity type: Organization
NPI issued: 31 Dec 2015
Record last updated: 31 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.