| NPI | 1801171517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH JEFFERDS SINCLAIR Md/Part Owner 304-343-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2022-09-07 |