Organization
SHENANDOAH OPTICAL INC.
Active
Other names
Winchester Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A MOORE (PRESIDENT)
(540) 667-2220
Entity
Organization
Contact information
Practice address
1845 W PLAZA DR, WINCHESTER, VA 22601-6365
(540) 667-1176
(540) 667-1209
Mailing address
1845 W PLAZA DR, WINCHESTER, VA 22601-6365
(540) 667-1176
(540) 667-1209
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
01629
VA
Other
Enumeration date
12/20/2005
Last updated
10/20/2011
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