C. Houston Teaters, Od, PC

NPI #1578668570 in Fairlawn, Virginia

Provider Information

NPI Number: 1578668570
Entity Type: Organization
Organization Name: C. Houston Teaters, Od, PC
Primary Specialty: Optometrist
Enumeration Date: Sep 14, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 7373 PEPPERS FERRY BLVD
Address 2: SUITE A
City: Fairlawn
State: Virginia
ZIP Code: 24141-8857
Phone: (540) 633-0006

Authorized Official

Name: DR. CHARLES HOUSTON TEATERS, O.D.
Title: OPTOMETRIST
Phone: (540) 392-9020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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