Organization
LEGACY EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J FOSTER OD (MEMBER)
(919) 607-9265
Entity
Organization
Contact information
Practice address
3500 S CRATER RD, PETERSBURG, VA 23805-9204
(804) 861-2020
(804) 861-2115
Mailing address
314 KNOLLCREST LN, KNIGHTDALE, NC 27545-6715
(804) 861-2020
(804) 861-2115
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002124
VA
Other
Enumeration date
06/01/2012
Last updated
03/29/2013
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