Individual
DR. TAYLOR E REPKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1701 EUCLID AVE STE D, BRISTOL, VA 24201-3700
(276) 466-4227
Mailing address
241 GATEWAY PLZ, STE 106, GATE CITY, VA 24251-3350
(276) 690-2345
(276) 690-2345
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0601800559
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101355982
—
VA
Enumeration date
02/22/2006
Last updated
04/16/2014
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