Organization
TRI-CITY OPTICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHANNON H LOONEY (OPTICIAN)
(276) 926-4234
Entity
Organization
Contact information
Practice address
5057 DICKENSON HWY, CLINTWOOD, VA 24228-6078
(276) 926-4234
(276) 926-4375
Mailing address
5057 DICKENSON HWY, CLINTWOOD, VA 24228-6078
(276) 926-4234
(276) 926-4375
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
003309
VA
Other
Enumeration date
05/08/2007
Last updated
02/11/2008
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