Eye Care On The Ridge Llc

NPI 1063704435 - Optometrist - 152W00000X

NPI Details
NPI 1063704435
Enumeration Date 05/04/2011
Last Updated 08/31/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name SHAD L SHAD
Position OPTOMETRIST
Phone (276) 728-9323
Fax
Practice Location
843 W STUART DR
HILLSVILLE VA, 24343-1577, US
Phone (276) 728-9323
Fax
Business Location
843 W STUART DR
HILLSVILLE VA, 24343-1577, US
Phone (276) 728-9323
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Virginia
License Number 0618001276
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According to our database, Eye Care On The Ridge Llc NPI is 1063704435, taxonomy code is 152W00000X and license number is 0618001276, license state is located at Virginia. Eye Care On The Ridge Llc physically located at 843 W Stuart Dr, Hillsville VA, 24343-1577. NPI Number 1033115704 has the healthcare provider type.

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1063704435 NPI number is provided on an as is basis without warranty of any kind. 1063704435 is maintained by the National Plan & Provider Enumeration System. The contents of Eye Care On The Ridge Llc are for informational purposes only.