Organization
DR. VERONICA B. SULLIVAN, OD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VERONICA BUTRESE SULLIVAN OD (OWNER)
(757) 818-4616
Entity
Organization
Contact information
Practice address
838 OLD GEORGE WASHINGTON HWY N, #R, CHESAPEAKE, VA 23323-2209
(757) 558-8439
Mailing address
838 OLD GEORGE WASHINGTON HWY N, #R, CHESAPEAKE, VA 23323-2209
(757) 558-8439
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001512
VA
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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