Organization
EYES IN THE 'BURG O.D. PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA LEE GROSSETT O.D. (OPTOMETRIST)
(540) 369-3482
Entity
Organization
Contact information
Practice address
2527 COWAN BLVD, FREDERICKSBURG, VA 22401-8440
(540) 369-3482
Mailing address
2527 COWAN BLVD, FREDERICKSBURG, VA 22401-8440
(540) 369-3482
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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