Organization
DR. KAREN E. BORO
Active
Other names
NATIONAL OPTOMECTRIC CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL KEITH MARTIN LDO (MANAGER)
(540) 776-2930
Entity
Organization
Contact information
Practice address
4135 FRANKLIN ROAD, SW, ROANOKE, VA 24018
(540) 776-2930
(540) 776-2932
Mailing address
4135 FRANKLIN ROAD, SW, ROANOKE, VA 24018
(540) 776-2930
(540) 776-2932
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000577
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009234560
—
VA
05
—
009235787
—
VA
Enumeration date
02/08/2008
Last updated
08/07/2008
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