Provider Demographics
NPI:1518748144
Name:COX, WILLIAM DUANE (OPTICIAN)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:DUANE
Last Name:COX
Suffix:
Gender:M
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:228 PRINCE JAMES DR
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23669-3612
Mailing Address - Country:US
Mailing Address - Phone:757-719-8554
Mailing Address - Fax:757-224-6171
Practice Address - Street 1:228 PRINCE JAMES DR
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23669-3612
Practice Address - Country:US
Practice Address - Phone:757-719-8554
Practice Address - Fax:757-224-6171
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA1101000661156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician