Organization Name: | ABINGDON OPTICIANS LTD |
NPI Number: | 1063513471 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTINE POTTER DAVIDSON (LICENSED OPTICIAN) |
Mailing Address: | 276 W Main St Abingdon |
State: | VA US |
Postal Code: | 242102749 |
Phone Number: | 2766289943 |
Fax Number: | 2766231232 |
NPI Enumeration Date: | 09/26/2006 |
NPI Last Update Date: | 03/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | 1101001373 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |