| 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 |