NPI | 1932271459 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM GERALD BOSLEY Owner, Optometrist 304-538-5930 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: WV 1023-WV) |
Enumeration Date | 2006-11-14 |
Last Update Date | 2008-02-12 |