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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013976711 NPPES
Virginia MEDICAID 1013976711
Virginia Other 017589V49

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