Organization
2ND SIGHT OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DANIELLE NICOLE LONG (OFFICE MANAGER)
(757) 766-1988
Entity
Organization
Contact information
Practice address
12300 JEFFERSON AVE, NEWPORT NEWS, VA 23602
(757) 249-4404
Mailing address
12300 JEFFERSON AVE, SUITE 904, NEWPORT NEWS, VA 23602
(757) 249-4404
(757) 249-4761
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001095
VA
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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