Organization
DR. ROY W. WHITEHOUSE, P.C.
Active
Other names
Drs. Daren & Whitehouse, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY W. WHITEHOUSE O.D. (PRESIDENT)
(434) 292-3696
Entity
Organization
Contact information
Practice address
401 CHURCH ST, BLACKSTONE, VA 23824-1603
(434) 292-3696
Mailing address
PO BOX 396, BLACKSTONE, VA 23824-0396
(434) 292-3696
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001033
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039810
ANTHEM BCBS
VA
Enumeration date
07/19/2006
Last updated
11/12/2007
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