Organization
LOONEY ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN D LOONEY OD (PRESIDENT/MEMBER)
(304) 436-8435
Entity
Organization
Contact information
Practice address
125 SUFFOLK AVE, RICHLANDS, VA 24641-2434
(276) 963-0808
Mailing address
PO BOX 901, GRUNDY, VA 24614-0901
(276) 244-0171
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000677
VA
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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