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Matthew K Tucker, OPTICIAN
Optician in Salem, Virginia
NPI 1265742084

Matthew K Tucker is a Optician based in Salem, VA and is specialized in Optician. Matthew K Tucker practices in Salem, VA and has the professional credentials of OPTICIAN. The NPI Number for Matthew K Tucker is 1265742084 and holds a License No. 1101003129 (Virginia).

The current practice location address for Matthew K Tucker is 1802 Braeburn Dr, Salem, VA and can be reached out via phone at 540-772-3480 and via fax at 540-772-3779.

Location: 1802 Braeburn Dr, Salem, VA, 24153-7357
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265742084
Provider Name
Matthew K Tucker
Credential
OPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
1802 Braeburn Dr, Salem, VA, 24153-7357
Phone Number
540-772-3480
Fax Number
540-772-3779
Provider Enumeration Date
10/14/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1802 Braeburn Dr
City
Salem
State
Virginia
Zip
24153-7357
Phone Number
540-772-3480
Fax Number
540-772-3779
person
Provider Business Mailing Address Details
Address
1802 Braeburn Dr
City
Salem
State
Virginia
Zip
24153-7357
Phone Number
540-772-3480
Fax Number
540-772-3779
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
1101003129 (Virginia)
Definition
Definition to come...
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