NPI | 1881643583 |
---|---|
Doing Business As | RAVENSWOOD EYECARE |
Entity Type | Organization |
Authorized Contact | VIRGINIA E TAYLOR Office Manager 304-273-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: WV 924-od) |
Enumeration Date | 2006-05-09 |
Last Update Date | 2010-02-12 |