| NPI | 1831373315 |
|---|---|
| Doing Business As | GREAT BRIDGE EYE CARE |
| Entity Type | Organization |
| Authorized Contact | LAURIE R SMITHDEAL Insurance Specialist 757-482-4022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618000064) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2017-04-03 |