Organization
SPARK, INC
Active
Organization
SPARK, INC
Active
Other names
Pearle Vision
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD LEE COMER (PRESIDENT)
(540) 665-0571
Entity
Organization
Contact information
Practice address
2017 S LOUDOUN ST, WINCHESTER, VA 22601-3612
(540) 665-0571
(540) 667-7439
Mailing address
2017 S LOUDOUN ST, WINCHESTER, VA 22601-3612
(540) 665-0571
(540) 667-7439
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
06/18/2007
Last updated
05/22/2013
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