Organization
FAMILY VISION CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM E PUGH III OD (OPTOMETRIST)
(303) 640-4258
Entity
Organization
Contact information
Practice address
100 FAYETTE TOWN CTR, FAYETTEVILLE, WV 25840-9539
(304) 574-3557
Mailing address
100 FAYETTE TOWN CTR, FAYETTEVILLE, WV 25840-9539
(304) 574-3557
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1042-OD
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810016948
—
WV
Enumeration date
02/26/2010
Last updated
04/25/2010
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