Provider Demographics
NPI:1184821472
Name:VOGT STROMBERG, ERIN C (OD)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:C
Last Name:VOGT STROMBERG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:ERIN
Other - Middle Name:C
Other - Last Name:VOGT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:400 LASKIN RD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-3022
Mailing Address - Country:US
Mailing Address - Phone:757-428-1675
Mailing Address - Fax:757-491-3150
Practice Address - Street 1:400 LASKIN RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451-3022
Practice Address - Country:US
Practice Address - Phone:757-428-1675
Practice Address - Fax:757-491-3150
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618001651152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist