Individual
SCOTT WAYNE CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
6111 JEFFERSON AVE, NEWPORT NEWS, VA 23605-1511
(757) 637-4210
Mailing address
8046 ANNES CT, HAYES, VA 23072-3657
(757) 525-6281
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101002607
VA
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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