Commonwealth Vision Center
NPI #1902982531 in Glen Allen, Virginia
Provider Information
- NPI Number
- 1902982531
- Entity Type
- Organization
- Organization Name
- Commonwealth Vision Center
- Primary Specialty
- Optometrist
- Enumeration Date
- Oct 27, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 10220 WEST BROAD STREET
- City
- Glen Allen
- State
- Virginia
- ZIP Code
- 23060-3305
- Phone
- (804) 346-9100
Authorized Official
- Name
- LEONARD BRINKLEY WHITESIDE III, OD
- Title
- PRES
- Phone
- (804) 346-9100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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