Individual
MELISSA KONTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
401 N 11TH ST, RICHMOND, VA 23219-1901
(804) 828-9315
Mailing address
401 N 11TH ST, RICHMOND, VA 23219-1901
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3885
TN
152WP0200X
Pediatric Optometrist
Primary
0618003509
VA
207W00000X
Ophthalmology Physician
3885
TN
Other
Enumeration date
03/11/2024
Last updated
07/08/2025
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