Organization
GENESIS EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
V. SULLIVAN (MANAGER)
(757) 558-8439
Entity
Organization
Contact information
Practice address
857 GEORGE WASHINGTON HWY N, BOX 6855, CHESAPEAKE, VA 23323-2297
(757) 558-8439
Mailing address
857 GEORGE WASHINGTON HWY N, POB 6855, CHESAPEAKE, VA 23323-2297
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001512
VA
Other
Enumeration date
04/14/2010
Last updated
04/14/2010
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