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Individual

DR. STEPHEN MARK ENOCHS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
3575 BRIDGE RD STE 19, SUFFOLK, VA 23435-1844
(757) 638-2015
(757) 638-2010
Mailing address
3575 BRIDGE RD STE 19, SUFFOLK, VA 23435-1844
(757) 638-2015
(757) 638-2010

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001031
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010419042
VA
01
294202
VA BCBS
VA
01
58739
OPTIMA HEALTH
VA
Enumeration date
03/15/2006
Last updated
03/12/2020
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