Organization
NEW KENT EYE CARE LLC
Active
Other names
New Kent Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK EVANS OD (PRESIDENT)
(540) 345-3556
Entity
Organization
Contact information
Practice address
7410 COOPER TAVERN RD STE D, QUINTON, VA 23141-2260
(540) 345-3556
(540) 342-2193
Mailing address
PO BOX 8310, ROANOKE, VA 24014-0310
(540) 345-3556
(540) 342-2193
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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