Individual
MARK PHILIP MACMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
400 WESTHAMPTON STA, RICHMOND, VA 23226-3330
(804) 287-4200
(804) 287-4210
Mailing address
400 WESTHAMPTON STA, RICHMOND, VA 23226-3330
(804) 287-4200
(804) 287-4210
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
0618002308
VA
Other
Enumeration date
04/23/2013
Last updated
05/17/2016
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