| NPI | 1326222860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY EARL WILLIAMS Optometrist 304-472-9160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: WV 683OD) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2007-12-19 |