Organization
ELECTRA VISION, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARBARA PITTARAS O.D. (OWNER)
(304) 724-2025
Entity
Organization
Contact information
Practice address
217 OAK LEE DR, SUITE 12B, RANSON, WV 25438-4871
(304) 724-2025
Mailing address
217 OAK LEE DR, SUITE 12B, RANSON, WV 25438-4871
(304) 724-2025
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1021-OD
WV
Other
Enumeration date
02/12/2012
Last updated
08/28/2012
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