Organization
CHARLES M OWENS OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES M OWENS OD (OWNER)
(276) 926-4375
Entity
Organization
Contact information
Practice address
5057 DICKENSON HWY, CLINTWOOD, VA 24228-6078
(276) 926-8776
(276) 926-4375
Mailing address
5057 DICKENSON HWY, CLINTWOOD, VA 24228-6078
(276) 926-8776
(276) 926-4375
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000347
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009236341
—
VA
Enumeration date
05/04/2007
Last updated
12/30/2009
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