Individual
MR. CHRISTOPHER ANTONINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.C.O.
Contact information
Practice address
ANTONINI OCULAR PROSTHETICS, LLC, WVU EYE INSTITUTE, 1 MEDICAL CENTER DRIVE, MORGANTOWN, WV 26506
(877) 594-0719
(304) 241-1858
Mailing address
ANTONINI OCULAR PROSTHETICS, LLC, 1408 FAR MEADOWS, MORGANTOWN, WV 26508
(877) 594-0719
(364) 241-1858
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381002299
—
WV
Enumeration date
02/03/2012
Last updated
11/18/2022
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