Individual
DANIELLE ITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
OD
Contact information
Practice address
4144 INNSLAKE DR, GLEN ALLEN, VA 23060-3344
(804) 217-9883
Mailing address
9600 BEEKMAN LN APT 1303, RICHMOND, VA 23228-2248
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0620000058
VA
Other
Enumeration date
06/18/2025
Last updated
10/14/2025
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