Organization
BLUE RIDGE EYE CARE ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN GRAY TUTTLE (PRACTICE ADMINISTRATOR)
(276) 236-4171
Entity
Organization
Contact information
Practice address
800 E STUART DR, GALAX, VA 24333-2321
(276) 236-4171
(276) 236-0909
Mailing address
800 E STUART DR, GALAX, VA 24333-2321
(276) 236-4171
(276) 236-0909
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001546
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649206814
GROUP NPI NUMBER
VA
Enumeration date
06/22/2006
Last updated
04/13/2021
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