Organization
WYTHE EYE ASSOCIATES AMANDA BREWER-SMITH OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA BREWER LORD OD (OPTOMETRIST)
(276) 223-0033
Entity
Organization
Contact information
Practice address
530 W RIDGE RD, WYTHEVILLE, VA 24382-1188
(276) 223-0033
(276) 223-0327
Mailing address
PO BOX 914, WYTHEVILLE, VA 24382-0914
(276) 223-0033
(276) 223-0327
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000743
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010298458
—
VA
Enumeration date
12/27/2006
Last updated
01/14/2014
Update your record
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