| NPI | 1730503038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAOUFIK A SADAT President 304-252-4616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WV 20564) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2014-02-07 |