Devito, Kurt K

Devito, Kurt K is an individual health care provider with primary practice located at 125 Janaf Shopping Ctr , Norfolk VA 23502-2501. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Devito, Kurt K can be contacted via phone (757) 461-3101.

Contact Information

Primary practice address
125 Janaf Shopping Ctr Norfolk VA 23502-2501
Phone: (757) 461-3101
Fax: (757) 461-6942
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0618000289 Virginia

Profile Details

NPI number 1780630863
LBN Legal business name Devito, Kurt K
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Nov 29th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780630863 NPPES
Virginia Other 453835 BCBS
Virginia MEDICAID 009236449 BCBS
Virginia Other 4323400003 BCBS

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