Organization
COOPER & ELDER OPTICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY CURTIS ELDER OPTICIAN (OWNER)
(434) 845-6120
Entity
Organization
Contact information
Practice address
2124 LANGHORNE RD, LYNCHBURG, VA 24501-1424
(434) 845-6120
(434) 845-6120
Mailing address
2124 LANGHORNE RD, LYNCHBURG, VA 24501-1424
(434) 845-6120
(434) 845-6120
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
1647
VA
156FX1800X
Optician
Primary
433
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629121983
NPI NUMBER JERRY ELDER
VA
Enumeration date
05/29/2007
Last updated
09/24/2009
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