Organization
NEW KENT OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE M KOWAL (OWNER/OPTICIAN)
(804) 307-4150
Entity
Organization
Contact information
Practice address
25209 NEW KENT HIGHWAY, QUINTON, VA 23141
(804) 307-4150
Mailing address
2520 NEW KENT HIGHWAY, QUINTON, VA 23141
(804) 307-4150
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101002137
VA
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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