Organization
EYE CENTER OF GREENBRIER VALLEY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP LIGHT MD (EXECUTIVE)
(304) 793-3937
Entity
Organization
Contact information
Practice address
3942 DAVIS STUART RD, RONCEVERTE, WV 24970-0260
(304) 793-3937
(304) 793-2203
Mailing address
3942 DAVIS STUART RD, RONCEVERTE, WV 24970-0260
(304) 793-3937
(304) 793-2203
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810003698
—
WV
Enumeration date
01/16/2007
Last updated
04/24/2017
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