Organization
THE EYEGLASS FACTORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARRON O MELTON (OWNER)
(540) 636-2020
Entity
Organization
Contact information
Practice address
1211 N. SHENANDOAH AVE., FRONT ROYAL, VA 22630
(540) 636-2020
(540) 636-1001
Mailing address
1211 N. SHENANDOAH AVE., FRONT ROYAL, VA 22630
(540) 636-2020
(540) 636-1001
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1101001610
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009280375
—
VA
Enumeration date
10/02/2006
Last updated
12/09/2010
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