Individual
JIA YU LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1300 JEFFERSON PARK AVE, CHARLOTTESVILLE, VA 22903-3363
(434) 924-5485
(434) 244-9436
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
(434) 295-1000
(434) 972-4266
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002768
VA
152W00000X
Optometrist
ODTG00706
RI
Other
Enumeration date
08/08/2019
Last updated
10/26/2020
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