Individual
GLENN ALLEN COFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1201 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-2217
(757) 425-5550
Mailing address
1201 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-2217
(757) 425-5550
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002731
VA
Other
Enumeration date
08/28/2018
Last updated
04/16/2025
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