Organization
MARK RODAMMER OD PC
Active
Other names
Doctors Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
TINA M BURGESS (CREDENTIALING SPECIALIST)
(252) 442-0802
Entity
Organization
Contact information
Practice address
511 BELFIELD DR, EMPORIA, VA 23847-1217
(252) 442-0802
(252) 442-2820
Mailing address
PO BOX 7396, ROCKY MOUNT, NC 27804
(252) 442-0802
(252) 442-2820
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010285691
—
VA
05
—
010320445
—
VA
05
—
010338352
—
VA
Enumeration date
05/03/2006
Last updated
12/11/2008
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