Provider Demographics
NPI:1457541922
Name:DOSS, TERESA ELIZABETH (OPTICIAN)
Entity type:Individual
Prefix:MS
First Name:TERESA
Middle Name:ELIZABETH
Last Name:DOSS
Suffix:
Gender:F
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5354 COMMONS CT
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-3533
Mailing Address - Country:US
Mailing Address - Phone:757-965-7217
Mailing Address - Fax:
Practice Address - Street 1:5354 COMMONS CT
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-3533
Practice Address - Country:US
Practice Address - Phone:757-965-7217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1101002657156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician