Individual
DR. SCOTT E GONTAREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
501 BATTLEFIELD BLVD N, SUITE B, CHESAPEAKE, VA 23320-4947
(757) 966-2066
(757) 966-2743
Mailing address
501 BATTLEFIELD BLVD N, SUITE B, CHESAPEAKE, VA 23320-4947
(757) 966-2066
(757) 966-2743
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001282
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
386492
ANTHEM
VA
Enumeration date
08/09/2005
Last updated
07/27/2012
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