Organization
DR. BLAHA AND ASSOCIATE OPTOMETRISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELINA SHVETS BLAHA O.D, (OWNER/OPTOMETRIST)
(757) 988-8903
Entity
Organization
Contact information
Practice address
12407 JEFFERSON AVE, SUITE A, NEWPORT NEWS, VA 23602-4311
(757) 988-8903
(757) 988-8903
Mailing address
PO BOX 14292, NEWPORT NEWS, VA 23608-0006
(757) 988-8903
(757) 988-8903
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000985
VA
Other
Enumeration date
12/03/2007
Last updated
01/26/2009
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