| NPI | 1609061399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA WERBLIN Office Administrator 304-487-6123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WV 12870) |
| Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2020-07-22 |