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Individual

DR. DOUGLAS FLOYD WEISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
5 CENTRE COURT, PALMYRA, VA 22963-2329
(434) 591-0262
(434) 591-0111
Mailing address
5 CENTRE COURT, PALMYRA, VA 22963-2329
(434) 591-0262
(434) 591-0111

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000628
VA
152W00000X
Optometrist
TUV0050411
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
151998
SOUTHERN HEALTH
VA
01
204999
ANTHEM
VA
01
224432
ANTHEM
VA
05
9233202
VA
05
9234292
VA
Enumeration date
12/12/2006
Last updated
10/25/2007
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