| |
248 Court Street, Grantsville, WV 26147-0633 | |
(304) 354-7505 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 248 Court Street, Grantsville, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053348284 | NPI | - | NPPES |
0150790000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Po Box 633, Grantsville, WV 26147-0633 Ph: (304) 354-7505 | 248 Court Street, Grantsville, WV 26147-0633 Ph: (304) 354-7505 |