Organization
NELSON EYE CENTER OPTOMETRISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MICHAEL KRYM O.D. (PRESIDENT)
(434) 263-5100
Entity
Organization
Contact information
Practice address
356 FRONT ST, LOVINGSTON, VA 22949-0590
(434) 263-5100
(434) 263-5908
Mailing address
PO BOX 590, LOVINGSTON, VA 22949-0590
(434) 263-5100
(434) 263-5908
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000296
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009236627
—
VA
01
—
410047671
PALMETTO GBA RAILROAD MEDICARE
VA
01
—
4520080001
CIGNA GOVERNMENT SERVICES
VA
Enumeration date
03/06/2008
Last updated
03/20/2009
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