Locust Grove Eye Care Pllc

NPI #1770853004 in Locust Grove, Virginia

Provider Information

NPI Number: 1770853004
Entity Type: Organization
Organization Name: Locust Grove Eye Care Pllc
Primary Specialty: Optometrist
Enumeration Date: Jan 3, 2012
Last Updated: Aug 9, 2012

Practice Location

Address: 4207 GERMANNA HWY STE C
City: Locust Grove
State: Virginia
ZIP Code: 22508-2040
Phone: (540) 972-6786

Authorized Official

Name: DR. GARTH STEVENS JR., M.D.
Title: OWNER
Phone: (540) 972-6786

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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