IndividualActive
Brittany Boardwine, LDO
NPI 1114743986 · Optician · Lebanon, VA
Provider details
- NPI number
- 1114743986
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- LDO
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1101004583 (VA)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
1050 Regional Park Rd
Lebanon, VA 24266-3712
Phone: (276) 889-3717
Approximate (ZIP-level) locationGet directions
Mailing address
1050 Regional Park Rd
Lebanon, VA 24266-3712
Registry dates
- Enumerated
- 2024-11-26
- Last updated
- 2024-11-26
- Certified
- 2024-11-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.