Organization
WIMMER OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL WIMMER LDO (OWNER/OPTICIAN)
(276) 403-4678
Entity
Organization
Contact information
Practice address
730 E CHURCH ST STE 22, MARTINSVILLE, VA 24112-3151
(276) 403-4678
(276) 403-4679
Mailing address
730 E CHURCH ST STE 22, P.O BOX 4629, MARTINSVILLE, VA 24112-3151
(276) 403-4678
(276) 403-4679
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
8410
VA
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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