Organization
ELKTON EYECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE W ROBERTSON O.D. (OWNER)
(540) 298-1671
Entity
Organization
Contact information
Practice address
304 W SPOTSWOOD AVE, ELKTON, VA 22827-1100
(540) 298-1671
Mailing address
304 W SPOTSWOOD AVE, ELKTON, VA 22827-1100
(540) 298-1671
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
0618002012
VA
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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