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Individual

DR. GREGORY MATTHEW SCHULTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
101 TEWNING RD, WILLIAMSBURG, VA 23188-2639
(757) 229-1131
(757) 229-1586
Mailing address
101 TEWNING RD, WILLIAMSBURG, VA 23188-2639
(757) 229-1131
(757) 229-1586

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001377
VA
152W00000X
Optometrist
18003497A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010070309
VA
01
143593
PIN/BCBS
VA
Enumeration date
07/20/2005
Last updated
02/03/2014
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