Organization
CHRISTOPHER C FUSCO OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER CHARLES FUSCO OD (OWNER/PRESIDENT)
(757) 424-4177
Entity
Organization
Contact information
Practice address
812 EDEN WAY N, CHESAPEAKE, VA 23320-0602
(757) 424-4177
(757) 424-0496
Mailing address
812 EDEN WAY N, CHESAPEAKE, VA 23320-0602
(757) 424-4177
(757) 424-0496
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618000205
VA
261Q00000X
Clinic/Center
Primary
0618000205
VA
Other
Enumeration date
09/24/2010
Last updated
11/03/2010
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