| NPI | 1356467278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANIS REED Owner 304-234-1863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WV 17583) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 35066784) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-10-17 |