Stephen T Basic III Od and Associates Pllc
NPI #1447504519 in Charlottesville, Virginia
Provider Information
- NPI Number
- 1447504519
- Entity Type
- Organization
- Organization Name
- Stephen T Basic III Od and Associates Pllc
- Primary Specialty
- Optometrist
- Enumeration Date
- Oct 29, 2012
- Last Updated
- Dec 18, 2012
Practice Location
- Address
- 1114 EMMET ST N STE D
- City
- Charlottesville
- State
- Virginia
- ZIP Code
- 22903-4841
- Phone
- (434) 971-2020
Authorized Official
- Name
- DR. STEPHEN THOMAS BASIC III, O.D.
- Title
- OWNER
- Phone
- (434) 409-2396
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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