Individual
DR. OSVALDO DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
1608 PLEASURE HOUSE RD STE 106, VIRGINIA BEACH, VA 23455-4046
(757) 460-9402
(757) 460-9462
Mailing address
1608 PLEASURE HOUSE RD STE 106, VIRGINIA BEACH, VA 23455-4046
(757) 460-9402
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002240
VA
152W00000X
Optometrist
1764
SC
152W00000X
Optometrist
OPC 4795
FL
Other
Enumeration date
07/31/2013
Last updated
04/30/2024
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