| |
1100 Celebration Ave, Moneta, VA 24121-6603 | |
(540) 297-5393 | |
(540) 297-5556 |
Full Name | |
---|---|
Type | Facility |
Speciality | Technician/technologist - Optician |
Location | 1100 Celebration Ave, Moneta, Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275852659 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 0618000777 (Virginia) | Secondary |
156FX1800X | Technician/technologist - Optician | 1101001438 (Virginia) | Primary |
Mailing Address | Practice Location Address |
---|---|
806 E Main St, Bedford, VA 24523-2939 Ph: (540) 587-4003 | 1100 Celebration Ave, Moneta, VA 24121-6603 Ph: (540) 297-5393 |