| NPI | 1154593911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS E GRIFFITH Owner 304-727-5237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WV 608-OD) |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-04-01 |