Organization
IDOCTORBEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN BIN WANG OD (OPTOMETRIST)
(540) 892-4850
Entity
Organization
Contact information
Practice address
4069 POSTAL DR, #20902, ROANOKE, VA 24018-6429
(540) 892-4850
Mailing address
PO BOX 20902, ROANOKE, VA 24018-0091
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002212
VA
Other
Enumeration date
04/17/2016
Last updated
02/02/2017
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