Individual
DR. CHARLES RICHARD SNIVELY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
120 BEULAH RD, VIENNA, VA 22180
(703) 933-8763
(703) 938-4407
Mailing address
120 BEULAH RD, VIENNA, VA 22180
(703) 933-8763
(703) 938-4407
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0601001217
VA
Other
Enumeration date
07/07/2006
Last updated
10/22/2007
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