Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 0601800171 | VA |
NPI | 1306809629 |
---|---|
Provider Name | Sherri L Becker |
First Address | Richmond, VA 23226-2444 |
Second Address | Hampton, VA 23666-2582 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2006 |
Last Update Date | 18/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010240905 | (05) | VA |
T97501 | (02) | VA |