Dvc of Virginia PC

NPI #1336197540 in Waynesboro, Virginia

Provider Information

NPI Number
1336197540
Entity Type
Organization
Organization Name
Dvc of Virginia PC
Primary Specialty
Optometrist
Enumeration Date
May 4, 2006
Last Updated
Nov 20, 2009

Practice Location

Address
540 LEW DEWITT BOULEVARD
Address 2
SUITE 5
ZIP Code
22980
Phone
(540) 943-7486

Authorized Official

Name
TINA M BURGESS
Title
CREDENTIALING SPECIALIST
Phone
(252) 442-0802

Specialties & Taxonomy Codes

Specialty
Optometrist

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