Organization
MAY & HETTLER, O.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES WACHTER (CMO)
(636) 200-4393
Entity
Organization
Contact information
Practice address
2253C OLD BRIDGE RD, LAKE RIDGE, VA 22192-3025
(703) 494-8900
(703) 494-2092
Mailing address
PO BOX 208869, DALLAS, TX 75320-8869
(636) 200-4393
(636) 527-0766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000063
VA
Other
Enumeration date
06/13/2007
Last updated
07/21/2022
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