Organization
LUKE STILLWELL OPTOMETRIST, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS LUKE STILLWELL O.D. (OWNER)
(276) 880-1277
Entity
Organization
Contact information
Practice address
1050 REGIONAL PARK RD, LEBANON, VA 24266-3712
(276) 889-5828
Mailing address
PO BOX 911, POUNDING MILL, VA 24637-0911
(276) 880-1277
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001858
VA
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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