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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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