Organization
FARMVILLE VISION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHERINE E FOURQUREAN OPTCIAN (OWNER)
(434) 392-8408
Entity
Organization
Contact information
Practice address
COLLEGE PLAZA SHOPPING CENTER, FARMVILLE, VA 23901
(434) 392-8408
(434) 392-8408
Mailing address
COLLEGE PLAZA SHOPPING CENTER, FARMVILLE, VA 23901
(434) 392-8408
(434) 392-8408
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1101 002474
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204661
ANTHEM
VA
01
—
25662
SPECTERA
VA
05
—
9282581
—
VA
Enumeration date
10/10/2006
Last updated
08/22/2020
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