Individual
SETH GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4501 S LABURNUM AVE STE 145, RICHMOND, VA 23231-2483
(804) 591-4581
Mailing address
10116 BROOK RD, GLEN ALLEN, VA 23059-6514
(804) 515-7733
(804) 515-9636
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002822
VA
Other
Enumeration date
09/04/2019
Last updated
12/31/2020
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