Individual
RANDY A BIRT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1701 EUCLID AVE, BRISTOL, VA 24201-3700
(276) 466-4227
(276) 466-3937
Mailing address
1701 EUCLID AVE, BRISTOL, VA 24201-3700
(276) 466-4227
(276) 466-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
06275TG
TX
Other
Enumeration date
01/23/2006
Last updated
08/07/2014
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