Southside Optical Center LLC

NPI #1386650729 in Farmville, Virginia

Provider Information

NPI Number: 1386650729
Entity Type: Organization
Organization Name: Southside Optical Center LLC
Primary Specialty: Ophthalmology
Enumeration Date: Jul 31, 2006
Last Updated: Jan 21, 2010

Practice Location

Address: 1511 W THIRD ST
City: Farmville
State: Virginia
ZIP Code: 23901
Phone: (434) 392-9555

Authorized Official

Name: DR. RIPON W LAROCHE II, MD
Title: PRESIDENT OWNER
Phone: (434) 392-9555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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Southside Eye Center PC	Ophthalmology	Farmville	AI Deep Dive
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