Organization
MARRON, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOROTHY VERNELL FREEMAN OD (OPTOMETRIST/OWNER/PRESIDENT)
(804) 732-2020
Entity
Organization
Contact information
Practice address
49 MORTON AVE, PETERSBURG, VA 23805-2751
(804) 732-2020
(804) 732-0470
Mailing address
49 MORTON AVE, PETERSBURG, VA 23805-2751
(804) 732-2020
(804) 732-0470
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000457
VA
332H00000X
Eyewear Supplier
0618000457
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VA009230548
—
VA
Enumeration date
04/12/2008
Last updated
12/14/2012
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