Organization
VISTAR EYE CENTER, INC
Active
Parent organization
VISTAR EYE CENTER, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
VISTAR EYE CENTER, INC
Authorized official
STACI ELAINE RUNYON (MANAGED CARE)
(540) 855-3554
Entity
Organization
Contact information
Practice address
749 E CHURCH ST, MARTINSVILLE, VA 24112-3106
(276) 632-7205
(276) 632-6366
Mailing address
PO BOX 1789, ROANOKE, VA 24008-1789
(276) 632-7205
(276) 632-6366
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618001837
VA
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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