Whitley, Walter O
Whitley, Walter O is an individual health care provider with primary practice located at 241 Corporate Blvd , Norfolk VA 23502-4965. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Whitley, Walter O can be contacted via phone (757) 622-2200.Contact Information
Primary practice address
241 Corporate Blvd
Norfolk VA 23502-4965
Phone: (757) 622-2200
Fax: (757) 622-4866
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0618001719 | Virginia |
Profile Details
| NPI number | 1013976711 |
|---|---|
| LBN Legal business name | Whitley, Walter O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2006 |
| Last updated | Mar 5th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013976711 | NPPES |
| Virginia | MEDICAID | 1013976711 | |
| Virginia | Other | 017589V49 |
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