Individual
EDWARD DANIEL FUTCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICENSED OPTICIAN
Contact information
Practice address
2501 WEST MERCURY BLVD, HAMPTON, VA 23666-3103
(757) 827-3960
(757) 827-3960
Mailing address
2501 WEST MERCURY BLVD, HAMPTON, VA 23666-3103
(757) 827-3960
(757) 827-3960
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101002476
VA
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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