| NPI | 1437493319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE ELIZABETH BOUNDS Office Manager 304-353-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WV WV21067) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WV WV20725) |
| 152W00000X Optometrist (Licence: WV WV8200D) | |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2012-12-05 |