Individual
DR. DOUGLAS FREDERICK RITCHIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1500 GRAND CENTRAL AVE, SUITE 112, VIENNA, WV 26105-1079
(304) 295-5025
(304) 295-7178
Mailing address
1500 GRAND CENTRAL AVE, SUITE 112, VIENNA, WV 26105-1079
(304) 295-5025
(304) 295-7178
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
636D
WV
208D00000X
General Practice Physician
21556
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150423000
—
WV
Enumeration date
08/12/2005
Last updated
10/27/2011
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