| NPI | 1568630770 |
|---|---|
| Other Name | OPTOMETRIST |
| Entity Type | Organization |
| Authorized Contact | NEILL R MARSHALL Owner 304-455-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WV 586OD) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-07-08 |