Organization
BERARDI EYECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN BERARDI (OWNER)
(304) 983-6680
Entity
Organization
Contact information
Practice address
9601 MALL RD, MORGANTOWN, WV 26501-8540
(304) 983-6680
(304) 983-6681
Mailing address
9601 MALL ROAD, MORGANTOWN, WV 26505
(304) 983-6680
(304) 983-6681
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1004-0706
WV
Other
Enumeration date
10/11/2013
Last updated
10/11/2013
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