Organization
ROANOKE VALLEY CENTER FOR SIGHT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACI E RUNYON (MANAGED CARE COORDINATOR)
(540) 855-3554
Entity
Organization
Contact information
Practice address
438 W MAIN ST, SALEM, VA 24153-3610
(540) 855-3554
Mailing address
PO BOX 1789, ROANOKE, VA 24008-1789
(540) 378-5276
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OH667
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007603380
—
VA
Enumeration date
10/04/2005
Last updated
12/30/2022
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