Organization
VISTAR EYE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACI E RUNYON (MANAGED CARE COORDINATOR)
(540) 855-3554
Entity
Organization
Contact information
Practice address
280 WESTLAKE RD, PROFESSIONAL PARK BUILDING#2, HARDY, VA 24101-3967
(540) 346-2102
(540) 346-2109
Mailing address
PO BOX 1789, ROANOKE, VA 24008-1789
(540) 855-3554
(540) 342-4373
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
04/10/2013
Last updated
12/15/2016
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