Stacie Layne Virden Od PA

NPI #1427602382 in Waco, Texas

Provider Information

NPI Number: 1427602382
Entity Type: Organization
Organization Name: Stacie Layne Virden Od PA
Primary Specialty: Optometrist
Enumeration Date: Jul 30, 2019
Last Updated: Jul 30, 2019

Practice Location

Address: 1000 W STATE HIGHWAY 6 STE 210
City: Waco
State: Texas
ZIP Code: 76712-3788
Phone: (254) 776-8119

Authorized Official

Name: STACIE L VIRDEN, OD
Title: PRESIDENT
Phone: (254) 776-8119

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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