Individual
DR. LARRY WAYNE RITTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6113 INDIAN RIVER RD, VIRGINIA BEACH, VA 23464-3503
(757) 420-2053
(757) 424-9503
Mailing address
6113 INDIAN RIVER RD, VIRGINIA BEACH, VA 23464-3503
(757) 420-2053
(757) 424-9503
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
0618002166
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000379
BC & BS
ME
01
—
0468580001
MEDICARE DMEPOS
ME
05
—
1710017587
—
VA
01
—
410011944
RAILROAD MEDICARE
ME
Enumeration date
03/07/2007
Last updated
02/26/2014
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