| NPI | 1477753838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J KEITH WADE Partner 304-366-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WV 646od) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WV 729od) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2008-04-22 |