Organization
APPALACHIAN COLLEGE OF OPTOMETRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN DOUGLAS LOONEY O.D. (PRESIDENT)
(276) 244-0171
Entity
Organization
Contact information
Practice address
1193 PLAZA DR, GRUNDY, VA 24614-6780
(276) 244-0171
Mailing address
1193 PLAZA DR, GRUNDY, VA 24614-6780
(276) 244-0171
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000677
VA
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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