Individual
CHAZ E. TRUESDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
178 WAKELON ST, ZEBULON, NC 27597-2403
(192) 696-0329
(919) 269-0984
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618002539
VA
152W00000X
Optometrist
Primary
2500
NC
Other
Enumeration date
11/15/2016
Last updated
10/03/2024
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