| NPI | 1780876888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH AUDIA Optometrist / Practice Owner 304-643-2117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WV 0781-OD) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2010-05-24 |