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Organization

WILLIAMSTOWN EYE CLINIC INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MITCHELL LEE KOERBER OD (OPTOMITRIST)
(304) 375-6468
Entity
Organization

Contact information

Practice address
442 HIGHLAND AVE, WILLIAMSTOWN, WV 26187-1249
(304) 375-6468
(304) 375-6468
Mailing address
442 HIGHLAND AVE, WILLIAMSTOWN, WV 26187-1249
(304) 375-6468
(304) 375-6468

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
937-0D
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0149872000
WV
Enumeration date
05/10/2007
Last updated
07/01/2010
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