Organization
TAYLOR OPTICAL CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD K TAYLOR O D (SOLE PROPRIETOR)
(304) 325-8685
Entity
Organization
Contact information
Practice address
332 NORTH ST, BLUEFIELD, WV 24701-4038
(304) 325-8685
(304) 324-0429
Mailing address
332 NORTH ST, BLUEFIELD, WV 24701-4038
(304) 325-8685
(304) 324-0429
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010117135
—
VA
05
—
9280028000
—
WV
Enumeration date
05/02/2008
Last updated
05/02/2008
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