Organization
GARRY C. SHOEMAKER, O.D., P.C.
Active
Other names
Seascape Eyecare Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OSVALDO DIAZ OD (PRESIDENT)
(757) 460-9402
Entity
Organization
Contact information
Practice address
1608 PLEASURE HOUSE RD, SUITE 106, VIRGINIA BEACH, VA 23455-4046
(757) 460-9402
(757) 460-9462
Mailing address
1608 PLEASURE HOUSE RD, SUITE 106, VIRGINIA BEACH, VA 23455-4046
(757) 460-9402
(757) 460-9462
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000704
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009233849
—
VA
01
—
33036
OPTIMA
VA
01
—
394271
ANTHEM BLUE CROSS BLUE SHIELD
VA
01
—
5464802
AETNA
VA
01
—
DQ0280
RAILROAD MEDICARE
VA
Enumeration date
01/12/2010
Last updated
04/30/2024
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