Organization
GONTAREK EYE CARE OPTOMETRISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA V GONTAREK OD (OWNER)
(757) 966-2206
Entity
Organization
Contact information
Practice address
501 BATTLEFIELD BLVD N, SUITE B, CHESAPEAKE, VA 23320-4947
(757) 966-2206
(757) 966-2743
Mailing address
501 BATTLEFIELD BLVD N, SUITE B, CHESAPEAKE, VA 23320-4947
(757) 966-2206
(757) 966-2743
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001300
VA
Other
Enumeration date
09/27/2006
Last updated
07/20/2012
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