Organization
ENVISION OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNE ELIZABETH BOUNDS (PRACTICE MANAGER)
(304) 353-0222
Entity
Organization
Contact information
Practice address
1306 KANAWHA BLVD E, CHARLESTON, WV 25301-3001
(304) 353-0222
(304) 353-0218
Mailing address
1306 KANAWHA BLVD E, CHARLESTON, WV 25301-3001
(304) 353-0222
(304) 353-0218
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
03/08/2013
Last updated
03/12/2013
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