Organization
ELKINS OPTICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA LEA RAMSEY COT (PRES OWNER OPTICIAN)
(304) 636-8510
Entity
Organization
Contact information
Practice address
635 ROBERT E LEE AVE, ELKINS, WV 26241
(304) 636-8510
Mailing address
PO BOX 2569, 635 ROBT E LEE AVE, ELKINS, WV 26241
(304) 636-8510
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
2007003214
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0151895000
—
WV
01
—
1341393
UMWA
WV
Enumeration date
12/13/2006
Last updated
08/22/2020
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