Organization
TO HEALTHY EYES
Active
Other names
eyecareone
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELVIN LEE MANN O.D. (OWNER)
(304) 744-9533
Entity
Organization
Contact information
Practice address
4008 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1510
(304) 744-9533
Mailing address
4008 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1510
(304) 744-9533
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0690-OD
WV
Other
Enumeration date
03/07/2007
Last updated
08/22/2020
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