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Organization

EYEMAX, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HIEN NGUYEN (PRESIDENT)
(804) 694-4999
Entity
Organization

Contact information

Practice address
6651 MAIN ST, GLOUCESTER, VA 23061-5194
(804) 694-4999
Mailing address
6651 MAIN ST, GLOUCESTER, VA 23061-5194
(804) 694-4999

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000951
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1427021682
VA
Enumeration date
12/23/2014
Last updated
12/23/2014
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