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Contact Information

HEATHER BAE, OD
422 ORIANA RD
NEWPORT NEWS, VA23608-3733
 Phone: 757-875-0675
 Fax: 757-875-0695
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for HEATHER BAE · (Female)

NPI Number 1578102679
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 01/06/2020
Last updated 01/06/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0618002798
  • VA Medicaid 1619087608
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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