Individual
DR. JUSTIN AUTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2015 WATERSIDE RD, PRINCE GEORGE, VA 23875-1265
(804) 733-7300
(804) 733-7387
Mailing address
400 WESTHAMPTON STA, RICHMOND, VA 23226-3330
(804) 287-4200
(804) 287-4210
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002139
VA
Other
Enumeration date
08/30/2012
Last updated
06/19/2014
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