SearchVirginia152W00000X

Bradley Lane, OD

NPI 1255539607 · on the registry since 2007 · sole proprietor

Practice

Address
700 Wenonah Ave
Pearisburg, VA 24134
Phone
(540) 921-4116
Organisation at this address
New River Eye Care
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-05-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia