Organization
NRV EYE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEDD R PUCKETT MD (PRESIDENT)
(540) 381-2013
Entity
Organization
Contact information
Practice address
106 S FRANKLIN ST, STE C, CHRISTIANSBURG, VA 24073-3547
(540) 381-2013
Mailing address
106 S FRANKLIN ST, STE C, CHRISTIANSBURG, VA 24073-3547
(540) 381-2013
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101058838
VA
Other
Enumeration date
11/08/2006
Last updated
07/27/2010
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