Organization
BROOKNEAL OPTICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ALAN KRAMER R.O. (PRESIDENT/REGISTERED OPTICAL)
(434) 821-0268
Entity
Organization
Contact information
Practice address
207 E. RUSH STREET, BROOKNEAL, VA 24528-0100
(434) 376-3937
(434) 376-3937
Mailing address
207 E. RUSH STREET, P.O. BOX 100, BROOKNEAL, VA 24528-0100
(434) 376-3937
(434) 376-3937
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101002145
VA
Other
Enumeration date
07/09/2006
Last updated
08/22/2020
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