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>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1952371122

Individual Registrant:
Gender: F
Not Sole Proprietor

Location and contact information for practice:
100 COOK PARKWAY  OCEANA, WV 24870-0585 US
Tel: 304-682-6144  Fax: --

Contact information for business:
PO BOX 585  OCEANA, WV 24870-0585 US
Tel: 304-682-6144  Fax: --

Registration Information:
NPI: 1952371122
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers

Legacy codes, insurance codes and state license numbers:



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