Charles Richard Snively JR. OD

NPI 1801828868 - Optometrist - 152W00000X

NPI Details
NPI 1801828868
Gender Male
Enumeration Date 07/07/2006
Last Updated 10/22/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
120 BEULAH RD
VIENNA VA, 22180, US
Phone (703) 933-8763
Fax (703) 938-4407
Business Location
120 BEULAH RD
VIENNA VA, 22180, US
Phone (703) 933-8763
Fax (703) 938-4407
Toxanomy
Taxonomy Code 152W00000X
License State Virginia
License Number 0601001217
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According to our database, Dr. Charles Richard Snively JR. OD NPI is 1801828868, taxonomy code is 152W00000X and license number is 0601001217, license state is located at Virginia. Charles Richard Snively JR. OD physically located at 120 Beulah Rd, Vienna VA, 22180. NPI Number Charles Richard Snively JR. OD has the Individual type.

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1801828868 NPI number is provided on an as is basis without warranty of any kind. 1801828868 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Richard Snively JR. OD are for informational purposes only.