NPI | 1871763862 |
---|---|
Entity Type | Organization |
Authorized Contact | WAYNE DOUGHERTY Owner Optician 304-232-6501 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: WV 0507000045) |
Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: WV 05 7 00045) |
Enumeration Date | 2008-03-05 |
Last Update Date | 2008-03-05 |