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NPI Code Detail

MEDICARE: LES YEUX LLC

MEDICARE: LES YEUX LLC
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
1152W00000XOptometristVA

General Provider Information

NPI Number : 1790111375
Entity Type Code : Organization
Provider Name (Legal Business Name) : LES YEUX LLC
Provider Business Mailing Address
First Line : 4244 VIRGINIA AVE
Second Line :
City : COLLINSVILLE
State : VA
Zip : 24078-1935
Country : US
Telephone Number : 276-647-3766
Fax Number :
Provider Business Practice Location Address
First Line : 4244 VIRGINIA AVE
Second Line :
City : COLLINSVILLE
State : VA
Zip : 24078-1935
Country : US
Telephone Number : 276-647-3766
Fax Number :
Authorized Official
Title or Position : CO-PRESIDENT
Name : DR. JULIE BROWN MANUGUERRA
Credential : OD
Telephone Number : 276-647-3766
Provider Enumeration Date : 09/16/2013
Last Update Date : 09/16/2013

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Directions to “LES YEUX LLC ” Practice Location

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