Organization
CONTACT LENS SPECIALIST
Active
Other names
Optical Gallery
Organization subpart
No
Provider details
NPI number
Authorized official
MISS PATRICIA GUIN EDWARDS OPTICIAN (MANAGER)
(804) 741-4218
Entity
Organization
Contact information
Practice address
1336 GASKINS RD, RICHMOND, VA 23238-4919
(804) 741-4218
Mailing address
1336 GASKINS RD, RICHMOND, VA 23238-4919
(804) 741-4218
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45233
SPECTERA
VA
Enumeration date
07/24/2008
Last updated
07/24/2008
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