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Individual

DR. CHARLES W STINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
# 4 PENDLETON ST, MIDDLEBURG, VA 20117-0000
(540) 687-3634
(540) 687-3378
Mailing address
PO BOX 1360, MIDDLEBURG, VA 20118-1360
(540) 687-3634
(540) 687-3378

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000238
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009231919
VA
01
0694647
AETNA HMO
VA
01
192987
BLUE CROSS BLUE SHIELD
VA
01
320412
MAMSI
VA
01
412947
UNITED HEALTHCARE
VA
Enumeration date
01/24/2006
Last updated
07/31/2008
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