Organization
DOVE EYE
Active
Other names
jerry dove eye
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DAWN BERARDI (SECRETARY)
(304) 842-4000
Entity
Organization
Contact information
Practice address
120 MEDICAL PARK DR STE 103, BRIDGEPORT, WV 26330-9013
(304) 842-4000
Mailing address
120 MEDICAL PARK DR STE 103, BRIDGEPORT, WV 26330-9013
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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