Organization
WILLIAM C HOLCOMB OD PC
Active
Other names
Great Bridge Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURIE R SMITHDEAL (INSURANCE SPECIALIST)
(757) 482-4022
Entity
Organization
Contact information
Practice address
160 MT PLEASANT RD, CHESAPEAKE, VA 23322-4152
(757) 482-4022
(757) 482-9065
Mailing address
160 MT PLEASANT RD, CHESAPEAKE, VA 23322-4152
(757) 482-4022
(757) 482-9065
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000064
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009204016
—
VA
01
—
044496
BLUE CROSS BLUE SHIELD
—
01
—
0883370001
CIGNA GOVERNMENT SERVICES
VA
01
—
15702
OPTIMA
—
Enumeration date
12/20/2007
Last updated
04/03/2017
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