Appalachian College of Optometry
Organization Active NPI Optometrist · Grundy, VA
NPI 1235496019 · NPPES record last updated Apr 18, 2012
Key facts
- NPI
- 1235496019
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 0618000677 (VA)
- Legal business name
- APPALACHIAN COLLEGE OF OPTOMETRY
- Practice address
- 1193 Plaza Dr
Grundy, VA 24614-6780 - Phone
- (276) 244-0171
- NPI assigned
- Apr 18, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Brian Douglas Looney, O.D.
- Title
- President
- Phone
- (276) 244-0171
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 0618000677 | VA | Yes |
Addresses
Primary practice location
1193 Plaza Dr
Grundy, VA 24614-6780
Mailing address
1193 Plaza Dr
Grundy, VA 24614-6780
Phone (276) 244-0171
Other providers in Grundy, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.