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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DIANE MARIE WALLACH, OD

Active Sole Proprietor

DR. DIANE MARIE WALLACH, OD is a Optometrist healthcare provider located in NORFOLK, Virginia. NPI 1497744791 is currently active in the NPPES registry. Verify at CMS.

Optometrist · NORFOLK, VA

Registration Details

NPI Number
1497744791
Provider Type
Individual
Gender
Female
NPI Issued
Oct 19, 2005 (20.783014984454 yrs)
Last Updated
Dec 27, 2016
License
0618001150 (VA)
Sole Proprietor
Yes

Practice Information

Address
209 GRANBY ST
NORFOLK, VA, 235101805
Browse VA providers · Browse ZIP 23510
Phone
7576273937
Fax
7576275689
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in NORFOLK, VA

Name Credential NPI
DR. ANDREA SUSAN BASSI O.D 1912903683
DR. THOMAS SCHLATER 1073513099
AYESHA MECCI RAHMAN O.D. 1659372993
DR. THOMAS R. CHEEZUM O.D. 1932191327
DR. LORI MANDY PENNINGTON OD 1295723526
DR. BRIAN C HATCH OD, MBA, MS, DAAO 1699757419
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.