Organization
ENVISION OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. R DAVID ALLARA MD (OWNER)
(304) 720-3937
Entity
Organization
Contact information
Practice address
310 35TH ST SE, SUITE 11, CHARLESTON, WV 25304-1352
(304) 720-3937
(304) 926-0958
Mailing address
310 35TH ST SE, SUITE 11, CHARLESTON, WV 25304-1352
(304) 720-3937
(304) 926-0958
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WV4971
EYEMED
WV
Enumeration date
10/27/2006
Last updated
08/22/2020
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