Organization
THE OPTICAL GALLERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHEILA BAXTER YACKEL R.O, (OPTICIAN OWNER)
(804) 448-0900
Entity
Organization
Contact information
Practice address
17484 D CENTER DRIVE, RUTHER GLEN, VA 22546-2839
(804) 448-0900
(804) 448-4470
Mailing address
17484 D CENTER DRIVE, RUTHER GLEN, VA 22546-2839
(804) 448-0900
(804) 448-4470
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101 002527
VA
Other
Enumeration date
03/31/2007
Last updated
08/12/2008
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