Individual
DR. GINO J BIANCONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
236 CARMICHAEL WAY STE 318, CHESAPEAKE, VA 23322-2185
(757) 255-1330
Mailing address
3712 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23452-3414
(757) 463-3576
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002712
VA
152W00000X
Optometrist
OEG003485
PA
Other
Enumeration date
09/26/2018
Last updated
01/10/2020
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