Organization
SHORT PUMP FAMILY EYE CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIA FRIPPS (OPTOMETRIST/OWNER)
(804) 365-2111
Entity
Organization
Contact information
Practice address
11591 W BROAD ST STE C, RICHMOND, VA 23233-1186
(804) 364-0823
(804) 364-8943
Mailing address
11591 W BROAD ST STE C, RICHMOND, VA 23233-1186
(804) 364-0823
(804) 364-8943
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001941
VA
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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