| NPI | 1659459592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTY R REYNOLDS Business Manager 304-485-7588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2010-09-28 |