Organization
DRS. GARDNER & VELOSO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHLEY C. VELOSO OD (DOCTOR/OWNER)
(540) 342-6294
Entity
Organization
Contact information
Practice address
307 1ST ST SW, ROANOKE, VA 24011-1901
(540) 342-6294
(540) 342-8201
Mailing address
307 1ST ST SW, ROANOKE, VA 24011-1901
(540) 342-6294
(540) 342-8201
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
0618001002
VA
332H00000X
Eyewear Supplier
Primary
0618001002
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9232249
—
VA
Enumeration date
04/22/2008
Last updated
08/15/2008
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