Organization
DAVID R. GORE, O.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID RANDOLPH GORE O.D. (OPTOMETRIST/ PRESIDENT)
(703) 753-6633
Entity
Organization
Contact information
Practice address
6727 LEA BERRY WAY, HAYMARKET, VA 20169-2991
(703) 753-6633
(703) 753-6655
Mailing address
6727 LEA BERRY WAY, HAYMARKET, VA 20169-2991
(703) 753-6633
(703) 753-6655
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0601002328
VA
Other
Enumeration date
08/21/2005
Last updated
02/23/2015
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