Provider Demographics
NPI:1558323790
Name:SIMMONS, DAVID NMN (OD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:NMN
Last Name:SIMMONS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 BRANDON QUAY
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-8547
Mailing Address - Country:US
Mailing Address - Phone:757-547-5387
Mailing Address - Fax:
Practice Address - Street 1:NNSY OPTOMETRY DEPT, BLDG 277
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23709-5000
Practice Address - Country:US
Practice Address - Phone:757-953-6491
Practice Address - Fax:757-953-6487
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2014-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618000518152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist