Damron, William Fletcher
Damron, William Fletcher 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. Damron, William Fletcher 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0618000258 | Virginia |
Profile Details
| NPI number | 1194747782 |
|---|---|
| LBN Legal business name | Damron, William Fletcher |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194747782 | NPPES |
| Virginia | Other | 91431 | OPTIMA |
| Virginia | Other | 178557 | OPTIMA |
| Virginia | MEDICAID | 010147760 | OPTIMA |
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