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Organization

OMG, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
D E (MEMBER)
(757) 635-2625
Entity
Organization

Contact information

Practice address
838 OLD GEORGE WASHINGTON HWY N, #Q, CHESAPEAKE, VA 23323-2209
(757) 635-2625
Mailing address
PO BOX 6855, CHESAPEAKE, VA 23323-0855

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
156FX1101X
Ophthalmic Assistant
156FX1201X
Optometric Assistant Technician
Primary
156FX1202X
Optometric Technician
156FX1800X
Optician

Other

Enumeration date
05/22/2007
Last updated
09/11/2025
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