| NPI | 1871837757 |
|---|---|
| Doing Business As | MOUNTAIN STATE EYE ASSOCIATES, PLLC |
| Entity Type | Organization |
| Authorized Contact | ANNE ELIZABETH BOUNDS Office Manger 304-353-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2012-11-16 |