| NPI | 1619149903 | 
|---|---|
| Doing Business As | WAITKUS EYE CENTER | 
| Entity Type | Organization | 
| Authorized Contact | DAVID R HOLLIDAY Owner 304-253-8822 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 152W00000X Optometrist | 
| Enumeration Date | 2008-03-27 | 
| Last Update Date | 2008-03-27 |