Provider Demographics
NPI:1407871437
Name:OLLIEU, CELESTE (OD)
Entity Type:Individual
Prefix:DR
First Name:CELESTE
Middle Name:
Last Name:OLLIEU
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:CELESTE
Other - Middle Name:
Other - Last Name:JOON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:856 J CLYDE MORRIS BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1318
Mailing Address - Country:US
Mailing Address - Phone:757-316-5800
Mailing Address - Fax:757-534-5190
Practice Address - Street 1:12551 JEFFERSON AVE
Practice Address - Street 2:SUITE 249
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23602-4399
Practice Address - Country:US
Practice Address - Phone:757-988-8020
Practice Address - Fax:757-988-8048
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2018-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618001646152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist