Individual
DR. GREGORY MATTHEW SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
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
Update your record
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