Organization
PIEDMONT VISION CARE PLLC
Active
Other names
Thomas B Wood OD, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MANTINI OD (AUTHORIZED OFFICIAL)
(309) 222-8275
Entity
Organization
Contact information
Practice address
10660 CRESTWOOD DR, MANASSAS, VA 20109-3432
(703) 369-3937
(703) 369-7147
Mailing address
10660 CRESTWOOD DR, MANASSAS, VA 20109-3432
(703) 369-3937
(703) 369-7147
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000305
VA
Other
Enumeration date
10/19/2007
Last updated
05/11/2021
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