Organization
VISTAR EYE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL LEVY (ADMINISTRATOR)
(540) 855-5123
Entity
Organization
Contact information
Practice address
707 S JEFFERSON ST, ROANOKE, VA 24016-5100
(540) 855-5139
(540) 342-4373
Mailing address
PO BOX 1789, ROANOKE, VA 24008-1789
(540) 855-5139
(540) 342-4373
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
02/03/2006
Last updated
05/27/2015
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