| NPI | 1770694390 |
|---|---|
| Doing Business As | VIENNA EYE CLINIC |
| Entity Type | Organization |
| Authorized Contact | RUSTY JOE WEAVER Owner 304-295-8561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-05-30 |