Organization
ROY H. MITTMANN, O.D. AND ASSOCIATES INC.
Active
Other names
Roy H. Mittmann O.D. & Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY H MITTMANN O.D. (DIRECTOR / PRESIDENT)
(804) 378-8784
Entity
Organization
Contact information
Practice address
11500 MIDLOTHIAN TPKE, SUITE 672, RICHMOND, VA 23235-4771
(804) 378-8784
(804) 423-5790
Mailing address
PO BOX 72756, RICHMOND, VA 23235-8019
(804) 378-8784
(804) 423-5790
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000405
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OP2564
EYEMED GROUP ID
VA
Enumeration date
01/31/2007
Last updated
07/21/2011
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