Medical Optical Lab
NPI #1912012527 in Winchester, Virginia
Provider Information
- NPI Number
- 1912012527
- Entity Type
- Organization
- Organization Name
- Medical Optical Lab
- Primary Specialty
- Ophthalmology
- Enumeration Date
- Aug 21, 2006
- Last Updated
- Feb 6, 2008
Practice Location
- Address
- 302 S CAMERON ST
- City
- Winchester
- State
- Virginia
- ZIP Code
- 22601-4063
- Phone
- (540) 667-7482
Authorized Official
- Name
- MR. DIANA G DAUGHERTY, OFFICE MANAGER
- Title
- OFFICE MANAGER
- Phone
- (540) 667-7482
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
| Ophthalmology |
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