| NPI | 1265310346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN GIBSON VP Of Finance 304-598-4256 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology |
| 152W00000X Optometrist | |
| 207RS0012X Internal Medicine, Sleep Medicine | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology | |
| 207WX0107X Ophthalmology, Retina Specialist | |
| 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery | |
| 207W00000X Ophthalmology | |
| 152WP0200X Optometrist, Pediatrics | |
| 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2025-08-26 |
| Last Update Date | 2025-10-17 |