Mitchell Lee Corey O.D.

NPI 1013039049 - Optometrist - 152W00000X

NPI Details
NPI 1013039049
Gender Male
Enumeration Date 04/03/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
325 W 21ST ST
NORFOLK VA, 23517-2112, US
Phone (757) 622-3937
Fax (757) 233-7085
Business Location
325 W 21ST ST
NORFOLK VA, 23517-2112, US
Phone (757) 622-3937
Fax (757) 233-7085
Toxanomy
Taxonomy Code 152W00000X
License State Virginia
License Number 0618000434
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According to our database, Dr. Mitchell Lee Corey O.D. NPI is 1013039049, taxonomy code is 152W00000X and license number is 0618000434, license state is located at Virginia. Mitchell Lee Corey O.D. physically located at 325 W 21st St, Norfolk VA, 23517-2112. NPI Number Mitchell Lee Corey O.D. has the Individual type.

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1013039049 NPI number is provided on an as is basis without warranty of any kind. 1013039049 is maintained by the National Plan & Provider Enumeration System. The contents of Mitchell Lee Corey O.D. are for informational purposes only.