| NPI | 1255755203 |
|---|---|
| Doing Business As | JERRY DOVE EYE |
| Entity Type | Organization |
| Authorized Contact | DAWN BERARDI Secretary 304-842-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2014-02-11 |