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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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