NPI | 1649491853 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID WELLINGTON COOK President Owner 304-522-1802 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: WV 13810) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2013-05-07 |