NPI | 1235307075 |
---|---|
Former Legal Business Name | DR ERNEST B GATTEN III |
Entity Type | Organization |
Authorized Contact | ERNEST GATTEN Optometrist 757-562-6101 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618000051) |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: VA 0618000051) |
Enumeration Date | 2008-02-14 |
Last Update Date | 2020-01-27 |