Legacy Eye Care

NPI #1033470539 in Petersburg, Virginia

Provider Information

NPI Number: 1033470539
Entity Type: Organization
Organization Name: Legacy Eye Care
Primary Specialty: Optometrist
Enumeration Date: Jun 1, 2012
Last Updated: Mar 29, 2013

Practice Location

Address: 3500 S CRATER RD
City: Petersburg
State: Virginia
ZIP Code: 23805-9204
Phone: (804) 861-2020

Authorized Official

Name: DR. ROBERT J FOSTER, OD
Title: MEMBER
Phone: (919) 607-9265

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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