| |
221-d Staunton Plaza Shopping Center, Hurt, VA 24563-0610 | |
(434) 324-8855 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 221-d Staunton Plaza Shopping Center, Hurt, Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770766628 | NPI | - | NPPES |
009206949 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 0618000552 (Virginia) | Primary |
Mailing Address | Practice Location Address |
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Po Box 610, Hurt, VA 24563-0610 Ph: (434) 324-8855 | 221-d Staunton Plaza Shopping Center, Hurt, VA 24563-0610 Ph: (434) 324-8855 |
Dr. Randall G Roelfs, O D Optometrist Medicare: Not Enrolled in Medicare Practice Location: Staunton Plaza Shopping Center, Hurt, VA 24563 Phone: 434-324-8855 Fax: 434-324-8852 |