Organization
WAGONER FAMILY EYE CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT L WAGONER O.D. (PRESIDENT)
(434) 385-0213
Entity
Organization
Contact information
Practice address
3701 OLD FOREST RD, SUITE B, LYNCHBURG, VA 24501-6901
(434) 385-0213
(434) 385-0214
Mailing address
3701 OLD FOREST RD, SUITE B, LYNCHBURG, VA 24501-6901
(434) 385-0213
(434) 385-0214
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002121
VA
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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