Individual
MICHAEL XU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1149 NIMMO PKWY, VIRGINIA BEACH, VA 23456-7730
(757) 480-5005
Mailing address
PO BOX 9817, VIRGINIA BEACH, VA 23450-9817
(757) 480-5005
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001211
VA
Other
Enumeration date
12/19/2006
Last updated
07/20/2022
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