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Organization

NEW OPTICIANS BOUTIQUE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ALANDA KAY TOMLIN (LICENSED OPTICIAN)
(540) 463-7440
Entity
Organization

Contact information

Practice address
203 N MAIN ST, LEXINGTON, VA 24450-2650
(540) 463-7440
(540) 464-1888
Mailing address
203 N MAIN ST, LEXINGTON, VA 24450-2650
(540) 463-7440
(540) 464-1888

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
002622
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
146049
ANTHEM
VA
Enumeration date
01/23/2007
Last updated
08/22/2020
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