Organization
DR DAVID A LOTZ, OPTOMETRIST, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A LOTZ O.D. (PRESIDENT)
(757) 539-8716
Entity
Organization
Contact information
Practice address
1238 HOLLAND RD, SUITE 103, SUFFOLK, VA 23434-6300
(757) 539-8716
Mailing address
1238 HOLLAND RD, SUITE 103, SUFFOLK, VA 23434-6300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000298
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629003496
INDIVIDUAL NPI
—
05
—
9230271
—
VA
Enumeration date
03/17/2008
Last updated
03/17/2008
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