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NPI Code Detail

MEDICARE: MRS. LEANNE M PERRY

MEDICARE: MRS. LEANNE M PERRY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1156FX1800XOptician1101003292VA

General Provider Information

NPI Number : 1033295068
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LEANNE M PERRY
Provider Business Mailing Address
First Line : 128 EAST LITTLE CREEK RD
Second Line :
City : NORFOLK
State : VA
Zip : 23505
Country : US
Telephone Number : 747-480-1134
Fax Number : 757-480-8655
Provider Business Practice Location Address
First Line : 128 E LITTLE CREEK RD
Second Line :
City : NORFOLK
State : VA
Zip : 23505-2503
Country : US
Telephone Number : 747-480-1134
Fax Number : 757-480-8655
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2006
Last Update Date : 03/17/2018

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Directions to “ MRS. LEANNE M PERRY ” Practice Location

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