| NPI | 1831398510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN WEESE Office Manager 304-472-7703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: WV 727D) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2015-09-11 |