John R. Miksch O.D.

NPI 1063403210 - Optometrist - 152W00000X

NPI Details
NPI 1063403210
Gender Male
Enumeration Date 11/04/2005
Last Updated 05/05/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
5419 PATTERSON AVE
RICHMOND VA, 23226-2003, US
Phone (804) 285-7638
Fax (804) 285-2107
Business Location
5419 PATTERSON AVE
RICHMOND VA, 23226-2003, US
Phone (804) 285-7638
Fax (804) 285-2107
Toxanomy
Taxonomy Code 152W00000X
License State Virginia
License Number 0601001234
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According to our database, Dr. John R. Miksch O.D. NPI is 1063403210, taxonomy code is 152W00000X and license number is 0601001234, license state is located at Virginia. John R. Miksch O.D. physically located at 5419 Patterson Ave, Richmond VA, 23226-2003. NPI Number John R. Miksch O.D. has the Individual type.

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1063403210 NPI number is provided on an as is basis without warranty of any kind. 1063403210 is maintained by the National Plan & Provider Enumeration System. The contents of John R. Miksch O.D. are for informational purposes only.