Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 0618001756 | VA |
NPI | 1013179027 |
---|---|
Provider Name | Dr. Deanna Marie Ritenour |
First Address | Virginia Beach, VA 23454-2217 |
Second Address | Virginia Beach, VA 23454-2217 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2008 |
Last Update Date | 10/06/2019 |