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Organization

PETER GUHL PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PETER L GUHL OD (OWNER)
(757) 890-2020
Entity
Organization

Contact information

Practice address
4102 GEORGE WASHINGTON MEM HWY, YORKTOWN, VA 23692-2885
(757) 890-2020
(757) 890-9125
Mailing address
4102 GEORGE WASHINGTON MEM HWY, YORKTOWN, VA 23692-2885
(757) 890-2020
(757) 890-9125

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
0618000215
VA
152WL0500X
Low Vision Rehabilitation Optometrist
0618000215
VA
152WV0400X
Vision Therapy Optometrist
0618000215
VA
2084P0005X
Neurodevelopmental Disabilities Physician
Primary
0618000215
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004493249
AETNA
VA
05
009206655
VA
01
0505840001
ADMIN FEDERAL
VA
01
13020
MEDIPLUS
VA
01
1953721
CIGNA
VA
01
251377
ANTHEM
VA
01
335862MD2
MDIPA
VA
01
382104
HIGHMARK BC/BS
VA
01
55830
SENTARA
VA
Enumeration date
06/22/2006
Last updated
03/18/2016
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