Individual
DR. MAX D. HIMELICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4200 PORTSMOUTH BLVD, SUITE 89, CHESAPEAKE, VA 23321-2100
(757) 465-8788
Mailing address
4200 PORTSMOUTH BLVD, SUITE 89, CHESAPEAKE, VA 23321-2100
(757) 465-8788
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000498
VA
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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