DRS. Law and Gonzalez
Organization Active NPI Optometrist · Stuart, VA
NPI 1407926850 · NPPES record last updated Sep 16, 2008
Key facts
- NPI
- 1407926850
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 0618000924 (VA)
- Legal business name
- DRS. LAW AND GONZALEZ
- Practice address
- 797 Woodland Dr.
Suite 101
Stuart, VA 24171 - Phone
- (276) 694-7126
- Fax
- (276) 694-7449
- NPI assigned
- Nov 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Tammy A. Durham
- Title
- Office Manager
- Phone
- (276) 694-7126
Practitioners 2
-
Jorge G. Gonzalez, O.D.
-
James A. Law, O.D.
National Provider Directory
Locations
14168 Danville Pike
Laurel Fork, VA 24352
Phone (276) 398-2588
797 Woodland Dr
Ste 101
Stuart, VA 24171
Phone (276) 694-7126
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 0618000924 | VA | Yes |
| Optometrist |
152W00000X | 0618000179 | VA |
Addresses
Primary practice location
797 Woodland Dr.
Suite 101
Stuart, VA 24171
Mailing address
PO Box 969
Stuart, VA 24171-0969
Phone (276) 694-7126
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5902643 | Medicaid | NC |
Other providers in Stuart, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2008. 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.