Whalio Doctors

NPI 1003802422

Mary Lee Pemberton, OD

Practitioner Optometrist Waynesboro, VA

Practice location

Address
2522 Jefferson Hwy Suite 106, Waynesboro, VA 22980-8503
Phone
(540) 946-8727
Fax
(540) 949-5526

Registered specialties (3)

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 061800738 (VA)
Corneal and Contact Management Optometrist
Eye and Vision Services Providers Taxonomy 152WC0802X Licence 0618000738 (VA)
Pediatric Optometrist
Eye and Vision Services Providers Taxonomy 152WP0200X Licence 0618000738 (VA)

Registry record

NPI
1003802422
Entity type
Individual
Sex (as registered)
Female
NPI issued
21 Sep 2005
Record last updated
14 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.