# MICHAEL R. LOOPER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831398510
- **Authorized official:** GWENDOLYN WEESE (OFFICE MANAGER)
- **Authorized official phone:** (304) 472-7703

## Contact information

- **Practice address:** 100 BUCKHANNON CROSSROADS, BUCKHANNON, WV 26201
- **Practice address phone:** (304) 472-7703
- **Practice address fax:** (304) 472-8808
- **Mailing address:** 100 BUCKHANNON CROSSROADS, BUCKHANNON, WV 26201
- **Mailing address phone:** (304) 472-7703
- **Mailing address fax:** (304) 472-8808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WC0802X | Corneal and Contact Management Optometrist | 727D | WV | Yes |

## Other

- **Enumeration date:** 07/13/2007
- **Last updated:** 09/11/2015