| NPI | 1962653923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE RASHID Manager 304-768-7371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: WV 82110) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2011-01-13 |