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Organization

ROANOKE VISION ASSOCIATES, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRANDON PARKER BLEVINS O.D. (DOCTOR/PRESIDENT)
(540) 977-1157
Entity
Organization

Contact information

Practice address
4524 CHALLENGER AVE, SUITE A, ROANOKE, VA 24012-7028
(540) 977-1157
Mailing address
4524 CHALLENGER AVE STE A, ROANOKE, VA 24012-7028
(540) 977-1157

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002069
VA

Other

Enumeration date
01/23/2012
Last updated
01/23/2012
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