Organization
SDEC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE LYNN RIEBLING (ADMINISTRATOR)
(757) 481-4400
Entity
Organization
Contact information
Practice address
3298 MAIN STREET, EXMORE, VA 23350-1234
(757) 442-5079
Mailing address
6160 KEMPSVILLE CIR STE 250B, NORFOLK, VA 23502-3933
(757) 481-4400
(757) 481-1285
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
05/01/2025
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