Organization
STAUNTON EYE CLINIC PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A STATHOS JR. MD (OWNER)
(540) 885-8186
Entity
Organization
Contact information
Practice address
2008 N AUGUSTA ST, STAUNTON, VA 24401-2435
(540) 885-8186
(540) 886-5895
Mailing address
2008 N AUGUSTA ST, STAUNTON, VA 24401-2435
(540) 886-7501
(540) 886-5895
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9280651
—
VA
Enumeration date
04/14/2006
Last updated
01/28/2008
Update your record
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