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Individual

DR. AMIT JEEVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
465 N GREAT NECK RD, VIRGINIA BEACH, VA 23454-4064
(757) 481-2907
(757) 481-6486
Mailing address
465 N GREAT NECK RD, VIRGINIA BEACH, VA 23454-4064
(757) 481-5555
(757) 481-6486

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001324
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1770542938
VA
Enumeration date
03/17/2006
Last updated
06/23/2010
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