Organization
COMMONWEALTH EYE CARE ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACI RANSON (CREDENTIALING)
(804) 290-4278
Entity
Organization
Contact information
Practice address
3855 GASKINS RD, HENRICO, VA 23233-1441
(804) 217-6363
(804) 217-6400
Mailing address
3855 GASKINS RD, HENRICO, VA 23233-1441
(804) 217-6363
(804) 217-6400
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
08/29/2006
Last updated
11/02/2020
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