Precision Optical Inc
Organization Active NPI Eyewear Supplier · Doran, VA
NPI 1518033703 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1518033703
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- Legal business name
- PRECISION OPTICAL INC
- Practice address
- 5453 Governor GC Peery Hwy
Doran Professional BLDG
Doran, VA 24612 - Phone
- (276) 963-1030
- Fax
- (276) 963-5225
- NPI assigned
- Nov 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Kenneth Edward Anselmi, MD
- Title
- Owner
- Phone
- (276) 963-1030
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | VA | Yes |
Addresses
Primary practice location
5453 Governor GC Peery Hwy
Doran Professional BLDG
Doran, VA 24612
Mailing address
PO Box 9
Doran, VA 24612
Phone (276) 963-1030
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9280634 | Medicaid | VA |
Other providers in Doran, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. 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.