NPI | 1477842763 |
---|---|
Doing Business As | BERRYVILLE OPTOMETRY |
Entity Type | Organization |
Authorized Contact | CHARLES BAYLISS TWIGG Owner 540-955-5051 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618000137) |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: VA 0618000137) |
Enumeration Date | 2011-04-07 |
Last Update Date | 2011-11-08 |