Cornetta, James Vincent

Cornetta, James Vincent is an individual health care provider with primary practice located at 226 Fort Ln , Portsmouth VA 23704-2220. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Cornetta, James Vincent can be contacted via phone (757) 393-6131.

Contact Information

Primary practice address
226 Fort Ln Portsmouth VA 23704-2220
Phone: (757) 393-6131
Fax: (757) 393-0976
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0618000158 Virginia

Profile Details

NPI number 1689665861
LBN Legal business name Cornetta, James Vincent
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Jun 30th, 2009 - about 17 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 1689665861 NPPES
Virginia MEDICAID 010284716
Virginia Other 25072
Virginia Other 178555

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