Buena Vista Eye PC
NPI #1720069693 in Winston Salem, North Carolina
Provider Information
- NPI Number
- 1720069693
- Entity Type
- Organization
- Organization Name
- Buena Vista Eye PC
- Primary Specialty
- Ophthalmology
- Enumeration Date
- Nov 8, 2005
- Last Updated
- Nov 3, 2010
Practice Location
- Address
- 1214 REYNOLDA RD
- Address 2
- SUITE A
- City
- Winston Salem
- State
- North Carolina
- ZIP Code
- 27104-1122
- Phone
- (336) 723-2555
Authorized Official
- Name
- MRS. AMY BARTA WALL, MD
- Title
- PRESIDENT
- Phone
- (336) 723-2555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ophthalmology |
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