person
Mr. Douglas Powell Fisher JR., OPTICIAN
Optician in Petersburg, Virginia
NPI 1760536429

Douglas Powell Fisher JR. is a Optician based in Petersburg, VA and is specialized in Optician. Douglas Powell Fisher JR. practices in Petersburg, VA and has the professional credentials of OPTICIAN. The NPI Number for Douglas Powell Fisher JR. is 1760536429 and holds a License No. 1101001155 (Virginia).

The current practice location address for Douglas Powell Fisher JR. is 1980 South Sycamore Street, Petersburg, VA and can be reached out via phone at 804-861-3005 and via fax at 804-861-8243.

Location: 1980 South Sycamore Street, Petersburg, VA, 23805-2729
person
Provider Profile Details
NPI Number
1760536429
Provider Name
Douglas Powell Fisher JR.
Credential
OPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
1980 South Sycamore Street, Petersburg, VA, 23805-2729
Phone Number
804-861-3005
Fax Number
804-861-8243
Provider Enumeration Date
01/22/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1980 South Sycamore Street
City
State
Zip
23805-2729
Phone Number
804-861-3005
Fax Number
804-861-8243
person
Provider Business Mailing Address Details
Address
1980 South Sycamore Street
City
State
Zip
23805-2729
Phone Number
804-861-3005
Fax Number
804-861-8243
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
1101001155 (Virginia)
Definition
Definition to come...
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