MEDICARE: MISS PATRICIA GUIN EDWARDS OPTICIAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	156FX1800X	Optician	1101 001595	VA

General Provider Information

NPI Number	:	1053576637
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS PATRICIA GUIN EDWARDS OPTICIAN

Provider Business Mailing Address
First Line	:	1336 GASKINS RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23238-4919
Country	:	US
Telephone Number	:	804-741-4218
Fax Number	:

Provider Business Practice Location Address
First Line	:	1336 GASKINS RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23238-4919
Country	:	US
Telephone Number	:	804-741-4218
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/23/2008
Last Update Date	:	07/23/2008

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Directions to “ MISS PATRICIA GUIN EDWARDS OPTICIAN” Practice Location

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