Vistar Eye Center, INC

NPI #1184140618 in Martinsville, Virginia

Provider Information

NPI Number: 1184140618
Entity Type: Organization
Organization Name: Vistar Eye Center, INC
Subpart: Yes (part of a larger organization)
Parent Organization: VISTAR EYE CENTER, INC
Primary Specialty: Eyewear Supplier
Enumeration Date: Aug 16, 2017
Last Updated: Aug 16, 2017

Practice Location

Address: 749 E CHURCH ST
City: Martinsville
State: Virginia
ZIP Code: 24112-3106
Phone: (276) 632-7205

Authorized Official

Name: STACI ELAINE RUNYON
Title: MANAGED CARE
Phone: (540) 855-3554

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Eyewear Supplier	332H00000X	Primary

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