Organization
STAUNTON EYE CLINIC PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A STATHOS JR. MD (OWNER)
(540) 885-8186
Entity
Organization
Contact information
Practice address
2010 N AUGUSTA ST, STAUNTON, VA 24401-2435
(540) 885-8186
(540) 886-5895
Mailing address
2010 N AUGUSTA ST, STAUNTON, VA 24401-2435
(540) 885-8186
(540) 886-5895
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006307868
—
VA
05
—
6308830
—
VA
Enumeration date
04/27/2006
Last updated
09/03/2008
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