Gino J Bianconi, OD Valid NPI

Individual provider · Optometrist · Chesapeake, VA

NPI

1386129252

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

0618002712 (VA)

Sex

Male

Sole proprietor

Yes

Enumerated

2018-09-26

Last updated

2020-01-10