Most Relevant Information
Provider Data
| NPI Number: | 1003802422 |
| Provider Name: | MARY LEE PEMBERTON O.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 061800738 |
Most Important Dates
| Enumeration Date: | 09/21/2005 |
| Last Updated: | 02/14/2008 |
Provider Practice Location
2522 JEFFERSON HWY
SUITE 106
WAYNESBORO
VA
229808503
Practice Location Phone/Fax
| Phone: | 5409468727 |
| Fax: | 5409495526 |
Provider Mailing Location
2522 JEFFERSON HWY
SUITE 106
WAYNESBORO
VA
229808503
Provider Mailing Phone/Fax
| Phone: | 5409468727 |
| Fax: | 5409495526 |