DR. Khammany Southammavong, O.D.

NPI #1356466270 in Richmond, Virginia

Provider Information

NPI Number: 1356466270
Entity Type: Individual
Name: DR. Khammany Southammavong, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Mar 20, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1420 PARHAM RD
City: Richmond
State: Virginia
ZIP Code: 23229
Phone: (804) 741-8901

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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