Organization
ADVANCED HEALTH CONCEPTS
Active
Parent organization
ADVANCED HEALTH CONCEPTS
Other names
DBA Spectrum Optometric Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCED HEALTH CONCEPTS
Authorized official
DR. LISA M BENNETT O.D. (PRESIDENT)
(917) 304-7854
Entity
Organization
Contact information
Practice address
11500 MIDLOTHIAN TPKE, OUTSIDE JC PENNEY, NORTH CHESTERFIELD, VA 23235-4780
(804) 457-8733
Mailing address
PO BOX 73293, NORTH CHESTERFIELD, VA 23235-8029
(917) 304-7854
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
06128002036
VA
Other
Enumeration date
10/25/2011
Last updated
10/23/2013
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