Organization
LIFETIME EYE CARE C. HOUSTON TEATERS, OD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES H TEATERS OD (PRESIDENT)
(540) 392-9020
Entity
Organization
Contact information
Practice address
2851 CARROLLTON PIKE, SUITE A, WOODLAWN, VA 24381
(276) 236-0400
Mailing address
615 DEE DEE DRIVE, CHRISTIANSBURG, VA 24073
(540) 392-9020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000913
VA
Other
Enumeration date
02/23/2010
Last updated
02/23/2010
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