Organization
CARROLL W POOVEY JR OPTOMETRIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARROLL WILBURN POOVEY JR. O.D. (PRESIDENT)
(540) 381-3366
Entity
Organization
Contact information
Practice address
2400 N FRANKLIN ST, CHRISTIANSBURG, VA 24073-1088
(540) 381-3366
(540) 381-2007
Mailing address
PO BOX 648, CHRISTIANSBURG, VA 24068-0648
(540) 381-3366
(540) 381-2007
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000105
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009237399
—
VA
01
—
1699785972
INDIVIDUAL NPI
VA
Enumeration date
07/12/2007
Last updated
04/17/2014
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