| NPI | 1811181787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH CHRISTOPHER YEAREGO O PT Ometrist 304-637-5554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WV 902 OD) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2007-09-04 |