Wallach, Diane Marie

Wallach, Diane Marie is an sole proprietor health care provider with primary practice located at 209 Granby St , Norfolk VA 23510-1805. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Wallach, Diane Marie can be contacted via phone (757) 627-3937.

Contact Information

Primary practice address
209 Granby St Norfolk VA 23510-1805
Fax: (757) 627-5689
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0618001150 Virginia

Profile Details

NPI number 1497744791
LBN Legal business name Wallach, Diane Marie
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2005
Last updated Dec 27th, 2016 - about 9 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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