NPI 1194504696

Curt Maxwell, LDO

Practitioner Optician Chesapeake, VA

Practice location

Address: 632 Grassfield Pkwy, Chesapeake, VA 23322-7449
Phone: (757) 312-9493
Mailing address: 808 Greenwell Ln, Chesapeake, VA 23320-0764

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 1101002764 (VA)

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Registry record

NPI: 1194504696
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Sep 2023
Record last updated: 25 Sep 2023

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.