Organization
PAULL VISION CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA COLLEEN PAULL O.D (OWNER / OPTOMETRIST)
(804) 263-7845
Entity
Organization
Contact information
Practice address
8406 MORELOCK CT, RICHMOND, VA 23236-3367
(804) 263-7845
Mailing address
8406 MORELOCK CT, RICHMOND, VA 23236-3367
(804) 263-7845
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001501
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376587022
NPI - INDIVIDUAL
—
01
—
SC0001105
MEDICARE PTAN (INDIVIDUAL)
—
Enumeration date
06/03/2011
Last updated
06/29/2011
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