Individual
DR. HEATHER BAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
422 ORIANA RD, NEWPORT NEWS, VA 23608-3733
(757) 875-0675
(757) 875-0695
Mailing address
422 ORIANA RD, NEWPORT NEWS, VA 23608-3733
(757) 875-0675
(757) 875-0695
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002798
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619087608
—
VA
Enumeration date
01/06/2020
Last updated
01/06/2020
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