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Drs. Law And Gonzalez

Optometrist in Stuart, VA. Organization (NPI-2).

NPI number1407926850
StatusActive
Last updated in NPPESSep 16, 2008

Details

NPI
1407926850
Entity type
Organization (NPI-2)
Legal business name
Drs. Law And Gonzalez
Organization subpart
No
Enumeration date
Nov 9, 2006
Last updated
Sep 16, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist0618000924VAYes
152W00000X Optometrist0618000179VA

Practice location

797 Woodland Dr.
Suite 101
Stuart, VA 24171

Phone 276-694-7126 · Fax 276-694-7449

Mailing address

Po Box 969
Stuart, VA 24171-0969

Phone 276-694-7126 · Fax 276-694-7449

Authorized official

Tammy A. Durham
Office Manager
2766947126

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