Luke Stillwell Optometrist, P.c.

NPI #1750696597 in Lebanon, Virginia

Provider Information

NPI Number: 1750696597
Entity Type: Organization
Organization Name: Luke Stillwell Optometrist, P.c.
Primary Specialty: Optometrist
Enumeration Date: Aug 17, 2010
Last Updated: Aug 17, 2010

Practice Location

Address: 1050 REGIONAL PARK RD
City: Lebanon
State: Virginia
ZIP Code: 24266-3712
Phone: (276) 889-5828

Authorized Official

Name: DR. THOMAS LUKE STILLWELL, O.D.
Title: OWNER
Phone: (276) 880-1277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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