| NPI | 1407011778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC LEE CROWDER Optometrist/President 304-733-5355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WV WV-889-OD) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2008-07-25 |