Organization
LORAINE THOMAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN RENEE MORRISON (OPTICIAN/OWNER)
(304) 627-5588
Entity
Organization
Contact information
Practice address
139 CONFERENCE CENTER WAY STE 121, BRIDGEPORT, WV 26330-9147
(304) 627-5588
Mailing address
850 SPAUR RUN ROAD, CLARKSBURG, WV 26301
(304) 627-5588
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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