Organization
REPKO FAMILY VISION CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA G REPKO OD (MEMBER)
(276) 690-2345
Entity
Organization
Contact information
Practice address
241 GATEWAY PLZ, SUITE 106, GATE CITY, VA 24251-3350
(276) 690-2345
Mailing address
241 GATEWAY PLZ, SUITE 106, GATE CITY, VA 24251-3350
(276) 690-2345
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010128404
—
VA
05
—
010355982
—
VA
Enumeration date
08/15/2011
Last updated
04/03/2012
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