Organization
HENRY B. FORD, OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY B FORD OD (OWNER)
(276) 236-4122
Entity
Organization
Contact information
Practice address
1022 E STUART DR, GALAX, VA 24333-2512
(276) 236-4122
(276) 236-6060
Mailing address
1022 E STUART DR, P.O. BOX 715, GALAX, VA 24333-2512
(276) 236-4122
(276) 236-6060
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
088201
ANTHEM BCBS
VA
Enumeration date
02/05/2008
Last updated
02/05/2008
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