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Individual

DR. BENJAMIN BIN WANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
5049 VALLEY VIEW BLVD NW, ROANOKE, VA 24012-2074
(540) 362-7565
(540) 563-0441
Mailing address
5049 VALLEY VIEW BLVD NW, ROANOKE, VA 24012-2074
(540) 362-7565
(540) 563-0441

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002212
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30017663010002
VA
Enumeration date
07/01/2009
Last updated
03/06/2025
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