| NPI | 1134543457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAOUFIK A SADAT President 304-252-4216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 152W00000X Optometrist |
| 156FX1800X Technician/Technologist, Optician | |
| 207W00000X Ophthalmology (Licence: WV 20564) | |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-11-14 |