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Individual
DR. FRANK BENEDICT VILLA II
Active
Individual
DR. FRANK BENEDICT VILLA II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
0618000190
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0139570001
ADMINA STAR
VA
01
—
260837
ANTHEM
VA
01
—
410037410
RAIL ROAD MEDICARE
VI
05
—
9230084
—
VA
Enumeration date
06/25/2005
Last updated
01/21/2010
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