Shoemaker, Garry Carlton
Shoemaker, Garry Carlton is an individual health care provider with primary practice located at 1608 Pleasure House Rd Suite 106, Virginia Beach VA 23455-4046. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Corneal and Contact Management is his primary health care specialty. Shoemaker, Garry Carlton can be contacted via phone (757) 460-9402.Contact Information
Primary practice address
1608 Pleasure House Rd Suite 106
Virginia Beach VA 23455-4046
Phone: (757) 460-9402
Fax: (757) 460-9462
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0618000704 | Virginia |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 0618000704 | Virginia |
Profile Details
| NPI number | 1578595922 |
|---|---|
| LBN Legal business name | Shoemaker, Garry Carlton |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Feb 12th, 2024 - about 2 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 | 1578595922 | NPPES |
| Virginia | MEDICAID | 009233849 | |
| Virginia | Other | 394271 | |
| Virginia | Other | 5464802 | |
| Virginia | Other | 410039168 |
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