Organization
GOWEN EYE, LLC
Active
Other names
EYES on Main
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PATRICK GOWEN SR. OD (OPTOMETRIST)
(540) 292-1926
Entity
Organization
Contact information
Practice address
620 N MAIN ST STE 101, BLACKSBURG, VA 24060-3371
(540) 953-0136
(855) 300-5126
Mailing address
620 N MAIN ST STE 101, BLACKSBURG, VA 24060-3371
(540) 953-0136
(855) 300-5126
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000690
VA
Other
Enumeration date
09/27/2012
Last updated
05/22/2020
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