Organization
VISION ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONTGOMERY VICKERS O.D. (CLINICAL DIRECTOR)
(304) 727-8321
Entity
Organization
Contact information
Practice address
223 4TH AVE, SAINT ALBANS, WV 25177-2821
(304) 727-8321
(304) 727-8841
Mailing address
PO BOX 48, SAINT ALBANS, WV 25177-0048
(304) 727-8321
(304) 727-8841
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
701 O.D.
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150620000
—
WV
01
—
4321742
AETNA
WV
Enumeration date
05/04/2006
Last updated
01/28/2008
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