Provider Demographics
NPI:1750574828
Name:GALANG, JOCELYN SAMSON (OD)
Entity type:Individual
Prefix:MS
First Name:JOCELYN
Middle Name:SAMSON
Last Name:GALANG
Suffix:
Gender:F
Credentials:OD
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Other - First Name:
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Mailing Address - Street 1:4217 VIRGINIA BEACH BLVD
Mailing Address - Street 2:ATLANTIC EYECARE
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452
Mailing Address - Country:US
Mailing Address - Phone:757-340-7070
Mailing Address - Fax:757-340-7500
Practice Address - Street 1:4217 VIRGINIA BEACH BLVD
Practice Address - Street 2:ATLANTIC EYECARE
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452
Practice Address - Country:US
Practice Address - Phone:757-340-7070
Practice Address - Fax:757-340-7500
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLFLOPC4093152W00000X
VA0618001379152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist