| NPI | 1841441078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES FICK Optometrist/Owner 304-296-2540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WV 1009-OD) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: WV 1008-OD) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2011-03-15 |