Organization
JAMES EDWARD GRAU JR
Active
Organization
JAMES EDWARD GRAU JR
Active
Other names
Drs James & Gail Grau Optometrists
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLEY JUNE COLE (OFFICE MANAGER)
(276) 628-1143
Entity
Organization
Contact information
Practice address
699 MCBROOM ST NW STE A, ABINGDON, VA 24210-2511
(276) 628-1143
(276) 628-9522
Mailing address
699 MCBROOM ST NW # A, ABINGDON, VA 24210-2511
(276) 682-1143
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618000166
VA
152WV0400X
Vision Therapy Optometrist
Primary
0618000167
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009205136
—
VA
05
—
009205144
—
VA
Enumeration date
10/26/2006
Last updated
12/01/2010
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