Organization
LOONEY ENTERPRISES LLC
Active
Other names
looney eye care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN D LOONEY OD (OWNER)
(304) 436-8435
Entity
Organization
Contact information
Practice address
794 VIRGINIA AVE., WELCH, WV 24801
(304) 436-8435
Mailing address
PO BOX 607, WELCH, WV 24801-0607
(304) 436-8435
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1011 OD
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810006821
—
WV
Enumeration date
02/14/2007
Last updated
11/17/2011
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