Stacie L. Virden, O.d. P.a.

NPI #1043338007 in Waco, Texas

Provider Information

NPI Number: 1043338007
Entity Type: Organization
Organization Name: Stacie L. Virden, O.d. P.a.
Primary Specialty: Optometrist
Enumeration Date: Mar 27, 2007
Last Updated: Feb 8, 2011

Practice Location

Address: 1000 W STATE HIGHWAY 6
Address 2: SUITE 210
City: Waco
State: Texas
ZIP Code: 76712-3786
Phone: (254) 776-8119

Authorized Official

Name: DR. STACIE LAYNE VIRDEN, O.D.
Title: PRESIDENT
Phone: (254) 776-8119

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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