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Individual

DR. JOHN STEPHEN PEERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
13128 MIDLOTHIAN TPKE, MIDLOTHIAN, VA 23113-4206
(804) 378-2303
(804) 378-1641
Mailing address
13128 MIDLOTHIAN TPKE, MIDLOTHIAN, VA 23113-4206
(804) 378-2303
(804) 378-1641

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000103
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
140743
ANTHEM
VA
Enumeration date
09/27/2006
Last updated
04/16/2014
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