| NPI | 1982613576 |
|---|---|
| Former Legal Business Name | AUGUSTA EYE ASSOCIATES, P.L.C. |
| Entity Type | Organization |
| Authorized Contact | VICTORIA E VANDEVANDER Credentialing Manager 540-213-8449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2021-10-05 |