Organization
SHELL OPTICAL OF VIRGINIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD W SHELL ABOC (OPTICIAN)
(757) 934-2422
Entity
Organization
Contact information
Practice address
2463 PRUDEN BLVD, SUFFOLK, VA 23434-4235
(757) 934-2422
(757) 934-2640
Mailing address
2463 PRUDEN BLVD, SUFFOLK, VA 23434-4235
(757) 934-2422
(757) 934-2640
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1101000541
VA
332H00000X
Eyewear Supplier
1101001778
VA
Other
Enumeration date
12/09/2005
Last updated
08/22/2020
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