| NPI | 1982951497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS A. BRUGNOLI Optometrist / Managing Partner 304-296-2540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WV 1086-OD) |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2012-08-14 |