Individual
MR. GUS SINGLETON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICENSED OPTICIAN
Contact information
Practice address
22 RESEARCH DR, SUITE 115, HAMPTON, VA 23666-1787
(757) 746-5983
Mailing address
205 CRANE CIR, APT M, NEWPORT NEWS, VA 23608-5122
(757) 746-5983
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101004032
VA
Other
Enumeration date
11/14/2015
Last updated
11/14/2015
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