Male or Other

Mr. Gus Singleton LICENSED OPTICIAN

Optician in Hampton, VA(View on Map)

Full Name

Mr. Gus Singleton LICENSED OPTICIAN

NPI Number

1083088082

NPI Type

Individual Provider

Gender

Male

Enumeration Date

11/14/2015

Specialties

(Taxonomies)

Code

156FX1800X

Primary Taxonomy

Yes

Licenses

State

Virginia

License Number

1101004032

Contact
Information

Purpose

Mailing
Location

Address

205 CRANE CIR
22 RESEARCH DR

City

Newport News
Hampton

State

VA
VA

Postal Code

23608-5122
23666-1787

Country

US
US

Telephone Number

(757) 746-5983
(757) 746-5983

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/14/2015

Provider Address

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