Organization
TAOUFIK A SADAT
Active
Other names
Med & Surg Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAOUFIK SADAT MD (OWNER)
(304) 252-4216
Entity
Organization
Contact information
Practice address
22 MALLARD CT, BECKLEY, WV 25801-3615
(304) 252-4216
(304) 253-6809
Mailing address
22 MALLARD CT, BECKLEY, WV 25801-3615
(304) 252-4216
(304) 253-6809
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
156FX1800X
Optician
—
—
207W00000X
Ophthalmology Physician
Primary
20564
WV
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437241346
NPI
—
05
—
1841345000
—
WV
Enumeration date
05/04/2012
Last updated
07/16/2012
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