Eye Care On the Ridge LLC

NPI #1063704435 in Hillsville, Virginia

Provider Information

NPI Number: 1063704435
Entity Type: Organization
Organization Name: Eye Care On the Ridge LLC
Primary Specialty: Optometrist
Enumeration Date: May 4, 2011
Last Updated: Aug 31, 2011

Practice Location

Address: 843 W STUART DR
City: Hillsville
State: Virginia
ZIP Code: 24343-1577
Phone: (276) 728-9323

Authorized Official

Name: DR. SHAD L WHEATLEY, O.D.
Title: OPTOMETRIST
Phone: (276) 728-9323

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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