Organization
GONTAREK OPTOMETRIC CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT E GONTAREK OD (OWNER)
(757) 966-2206
Entity
Organization
Contact information
Practice address
2448 CHESAPEAKE SQUARE RING RD, CHESAPEAKE, VA 23321-2173
(757) 488-7066
(757) 488-2300
Mailing address
1508 ODMAN DR, CHESAPEAKE, VA 23321-1874
(757) 488-7066
(757) 488-2300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001282
VA
Other
Enumeration date
08/13/2005
Last updated
12/09/2011
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