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Organization

VISTAR EYE CENTER, INC

Active
Other names
Vistar Rocky Mount Optical
Organization subpart
No

Provider details

NPI number
Authorized official
STACI ELAINE RUNYON (MANAGED CARE)
(540) 855-3554
Entity
Organization

Contact information

Practice address
395 S MAIN ST, ROCKY MOUNT, VA 24151-1710
(540) 855-5100
Mailing address
PO BOX 1789, ROANOKE, VA 24008-1789
(540) 855-5100
(540) 342-4373

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618001837
VA
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
04/24/2017
Last updated
04/24/2017
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