Organization
BRANDERMILL EYE CENTER, OPTOMETRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA SHEN OD (OWNER, PRESIDENT, CEO)
(804) 639-2204
Entity
Organization
Contact information
Practice address
2348 COLONY CROSSING PLACE, MIDLOTHIAN, VA 23112-4280
(804) 639-2204
Mailing address
2348 COLONY CROSSING PLACE, MIDLOTHIAN, VA 23112-4292
(804) 639-2204
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508807850
—
VA
05
—
9233831
—
VA
Enumeration date
06/09/2006
Last updated
03/11/2020
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