Organization
VISTAR EYE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACI RUNYON (MANAGED CARE COORDINATOR)
(540) 855-3554
Entity
Organization
Contact information
Practice address
426 W MAIN ST, SALEM, VA 24153-3610
(540) 344-4000
(540) 342-4373
Mailing address
PO BOX 1789, ROANOKE, VA 24008-1789
(540) 855-5139
(540) 342-4373
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
09L0899
VA
Other
Enumeration date
04/29/2009
Last updated
12/15/2016
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