Individual
DR. SHANNON DENYSE HUNTZBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2159 BARRACKS RD, CHARLOTTESVILLE, VA 22903-4812
(434) 977-2020
Mailing address
110 S PANTOPS DR, CHARLOTTESVILLE, VA 22911-8672
(434) 977-2020
(434) 977-4842
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002109
VA
152W00000X
Optometrist
TA2022
MD
152WC0802X
Corneal and Contact Management Optometrist
4614
MA
Other
Enumeration date
03/27/2007
Last updated
02/21/2018
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