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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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