| NPI | 1992269047 |
|---|---|
| Other Name | REGIONAL EYE ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | EDGAR C GAMPONIA Authorized Rep 304-598-3301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-01-23 |