Individual
DR. MICHAEL WAYNE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2159 BARRACKS RD, CHARLOTTESVILLE, VA 22903-4812
(434) 977-2020
(434) 977-4842
Mailing address
2159 BARRACKS RD, CHARLOTTESVILLE, VA 22903-4812
(434) 977-2020
(434) 977-4842
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002107
VA
Other
Enumeration date
12/21/2006
Last updated
07/14/2014
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