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AMANDA COLLEEN PAULL

Eye and Vision Services Providers Optometrist

Provider NPI: 1083826259

Organization Information:
Organization Name:  AMANDA COLLEEN PAULL
Organization is not Subpart
Authorized Official:  AMANDA C PAULL  PRESIDENT  804-263-7845

Practice Location:
STONY POINT FASHION PARK 9200 STONY POINT PARKWAY, STE 195B RICHMOND, VA 23235 US
Tel: 804-263-7845  Fax: 804-335-1310

Business Mailing Address:
STONY POINT FASHION PARK 9200 STONY POINT PARKWAY, STE 195B RICHMOND, VA 23235 US
Tel: 804-263-7845  Fax: 804-335-1310

NPI Information:
NPI: 1083826259
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
VA0618001501

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 152W00000X

Type:

Classification:



Definition:



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